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Quality of Life Community Health Survey

Please give us your honest opinions about the community you live in. All of your individual responses will be kept anonymous. The survey results will be used to look at overall health trends in Redwood County. Any questions about this survey should be directed to Michelle Salfer, 507-637-6084, michelle.salfer@swmhhs.com. Thank you!

1.Zip code where you live:

2.Are you:

Male

Female

Do not identify with one gender

3.Your age group:

12 or under

13-17

18-24

25-34

35-44

45-54

55-64

65-74

75 or older

4.Which of the following best describes you? (Mark ALL that apply)

American Indian

Asian or Pacific Islander

Black or African American or African

Hispanic/Latino

White

Other (please specify)

5.What is the highest level of education you have completed? (Please mark only ONE)

Still in High School/Middle School

Did not complete 8th grade

Did not complete high school

High school diploma/GED

Trade/Vocational school

Some college credit

Associate degree

Bachelor's degree

Master's degree

Doctorate degree

Professional degree

6.What is your employment status? (Please mark only ONE)

Employed

Unable to work

Self-employed

Student

Unemployed

Homemaker/Stay at home parent

Retired

7.Are you disabled?

Yes

No

8.Are you happy with the quality of life in your community?

Yes

No

9.Is your community a welcoming community?

Yes

No

10.Is your community a good place to raise children?

Yes

No

Do not know

11.Is your community a good place to grow old?

Yes

No

12.Do you feel there are jobs available in your community where the pay meets your monthly bills?

Yes

No

13.Is your community a safe place to live?

Yes, skip to Q15

No, answer Q14

14.If NO, what are the most likely causes? (Mark ALL that apply)

Crime

Crisis response

Race relations

Street lighting

Unsafe routes to walk

Other (please specify)

15.Are you happy with the health care system in your community?

Yes

No

16.How healthy would you say your community is?

Very unhealthy

Unhealthy

Somewhat healthy

Healthy

Very healthy

17.What do you think are the three MOST important factors for a "healthy community"? (Please mark only THREE)

Access to health care (physical and mental)

Access to healthy food options

Access to Transportation

Affordable housing

Arts and cultural events

Clean environment

Good race relations

Good jobs and healthy economy

Good place to raise children

Good schools

Low crime/safe neighborhoods

Religious or spiritual values

Youth & family activities (e.g. parks & recreation)

Other (please specify)

18.What do you think are the three MOST important "health problems" in your community? (Please mark only THREE)

Aging problems (e.g., arthritis, hearing/vision loss, etc.)

Alcohol-related illness and death

Alzheimer's Disease

Cancers

Child abuse/neglect

Dental problems

Diabetes

Domestic violence

Drug-related illness and death

Environment that is not healthy

Firearm-related injuries

Heart disease and stroke

High blood pressure

HIV/AIDS

Homicide

Infant death

Infectious diseases (e.g. hepatitis, TB, measles, pertussis, influenza, etc.)

Kidney disease (nephritis)

Lack of healthy food

Lack of health screenings

Lack of physical activity

Lack of prenatal care

Mental health problems

Motor vehicle crash injuries

Obesity

Rape/sexual assault

Respiratory/lung disease (e.g. asthma, COPD)

Sexually transmitted diseases

Suicide

Teenage pregnancy

Tobacco and e-cigarette use & exposure

Unintentional injury

Other (please specify)

19.Do you have any additional comments about the health of your community?

20.Your total household income per year:

Less than $20,000

$20,000 - $34,999

$35,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000 or more

Do not know

Current Progress,

0 of 20 answered

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