Health & Human Services Community Impact Measures Feedback Form

Thank you for taking the time to provide feedback.

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* 1. Did you find the information you were looking for on the Community Impact Measures page?

Yes

No

If no, please specify what you were looking for...

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* 2. Is the data and/or written narratives easy to understand?

Yes

No

If no, please specify...

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* 3. Please provide us with any additional feedback or submit your question(s) about our Community Impact Measures below.

Demographics (optional)

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* 4. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 5. City or ZIP Code