Exit this survey Taylor County Health Assessment Demographics Question Title * 1. Zip code where you live 42718 42719 42743 42728 42733 42753 Other (please specify) Question Title * 2. Zip code where you work 42718 42719 42743 42728 42733 42753 Other (please specify) Question Title * 3. Age 18-25 26-39 40-54 55-64 65 or older Question Title * 4. Gender Male Female Question Title * 5. Ethnic Group African American/Black Asian/Pacific Islander Hispanic/Latino Native American White/Caucasian Other (please specify) Question Title * 6. Language spoken at home English Spanish German Chinese Vietnamese Other (please specify) Question Title * 7. Is understanding the English language a problem for you? Yes No If yes - Why? Question Title * 8. Are you satisfied with the health care system in Taylor County? Yes No Question Title * 9. What do you think are the THREE most important factors for a "Healthy Community?" (Those factors which most improve the quality of life in a community) Check only three: Access to healthy foods Access to quality & affordable healthcare Affordable housing Arts/cultural events Clean environment Excellent race relations Family/youth activities Good jobs/healthy economy Good place to raise children Good school systems Low crime/safe neighborhood Parks and green spaces Public transit Recreational facilities Religious or spiritual values Other (please specify) Question Title * 10. What do you think are the THREE most important "health problems" in Taylor County? Aging problems (e.g. arthritis, hearing/vision loss, etc.) Alcohol/drugs Allergies Cancers Child abuse/neglect Dental problems Diabetes Domestic violence Environmental pollution (air/water) Farming injuries Firearm injuries Heart disease and stroke High blood pressure HIV/AIDS Homicide Infant death Infectious diseases Mental health problems Motor vehicle crashes Obesity Rape/sexual assault Respiratory/lung disease Sexually Transmitted Diseases (STD's) Suicide Teenage Pregnancy Tobacco Tobacco Use Unhealthy eating Other (please specify) Question Title * 11. Select the top THREE health challenges YOU face: Cancer Diabetes Mental Health Heart disease and stroke High blood pressure HIV / AIDS / STDs Overweight/Obesity Respiratory / Lung disease None / no others Other (please specify) Question Title * 12. Do you have school age children? Yes No Question Title * 13. If yes, which grades? Elementary Middle High Question Title * 14. Are you raising children that are your grandchildren? Yes No Question Title * 15. What issues do your school age children face? Question Title * 16. How would you rate Taylor County as a "Healthy Community?" Very healthy Healthy Somewhat healthy Unhealthy Very unhealthy Question Title * 17. How would you rate your personal health? Very healthy Healthy Somewhat healthy Unhealthy Very unhealthy Question Title * 18. Where do you go for routine healthcare? Physician's Office Health Department Emergency Room Urgent Care Center Clinic in a grocery or drug store I do not receive routine healthcare Question Title * 19. If you answered "I don't receive routine healthcare" to number 18, please choose all reason why below. No appointment available Cannot take off from work Transportation Discrimination Insurance (lack of) Insurance (failure to accept) Prescribing of medication Lack of specialists Few specialty clinics Health knowledge Cannot afford due to high deductible Cost/expenses Health beliefs Culture/Language Lack of childcare Unemployment Poor facilities Doctors office hours/availability Wait time Other (please specify) Question Title * 20. How often have you used the Emergency Room in the past 12 months? 1-2 times 3-5 times 6 or more None Don't remember Question Title * 21. How often have you used the Emergency Room in the past 12 months for a child in your care? 1-2 times 3-5 times 6 or more None Don't remember Question Title * 22. What means of transportation do you use? Personal vehicle Hospital van Walk Share ride Other (please specify) Question Title * 23. What preventative health services do you use? Vaccinations/shots Colonoscopy Yearly lab work Skin exam Exercise program Vision checkups Family planning Breast exam Yearly physical Educational programs/support groups Healthy diet Mammography Pap smear Prostrate Exam Dental Other (please specify) Question Title * 24. The last time you used a health care facility in Taylor County did you feel you received enough information/education to recover? Yes No Taylor Regional Hospital Taylor Regional Hospital Yes Taylor Regional Hospital No Doctors Office Doctors Office Yes Doctors Office No Question Title * 25. In your opinion, what is the best way to address the health needs of people in Taylor County? (Please choose one) More exercise options Diabetes education Drug education More walk-able/bike-able community Address cost/insurance issues Nutrition education/access to healthy food Quit smoking classes More specialists Mental health education Tobacco free schools Work site wellness programs More primary care doctors School health education Other (please specify) Question Title * 26. What group needs the most help with access to health care in Taylor County? Low-income families Immigrants/refugees Elderly Single parents Physically/mentally disabled Minority groups (e.g.African American, Hispanic) Children/infants College students Young adults Middle class Other (please specify) Question Title * 27. Name one way to improve the health of Children? Question Title * 28. If the following screenings were available which ones would you be interested in doing? (Choose all that apply) Prostrate screening (PSA) Pap smear Body fat analysis Bone density Stool for occult blood Participation in American Cancer Society study Health risk assessment STD Mammogram Breath carbon monoxide test Question Title * 29. How do you find out about community events, classes, or programs in Taylor County? Internet School Tourism Worksites Newspaper Library Campbellsville University Chamber of Commerce Radio Health Department Extension Office Word of mouth Question Title * 30. Suggestion for classes: Done