2022 Live Healthy Miami Gardens - Take Your Loved One To The Doctor Campaign

Take The Pledge!

October is Take Your Loved ONE To The Doctor Month.

Live Healthy Miami Gardens is encouraging you to take yourself and your loved one to the doctor. Please "Take The Pledge" by completing the survey below. It should take about 4 minutes.

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* 1. My family and friends believe that it's important for me to go to the doctor.

Yes Absolutely!

Yes for the most part

No not really

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* 2. I pledge to visit a doctor for an annual check-up in the next 90 days.

Yes

No, because I have already visited a doctor for my annual check-up this year.

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* 3. I pledge to take my loved one (family member or friend) to the doctor for an annual check-up in the next 90 days.

Yes

No, because my loved one has already visited a doctor for their annual check-up this year.

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* 4. Which of the following best describes your affiliation with the City of Miami Gardens? Please check all that apply.

I live in Miami Gardens

I work in Miami Gardens

I worship in Miami Gardens

I visit Miami Gardens frequently

I have family in Miami Gardens

I attend school in Miami Gardens.

None of the above

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* 5. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 6. What is your gender identity? Select all that apply.

Woman

Man

Transgender

Non-binary/gender non-conforming

I prefer not to say

I prefer to self-describe (please specify)

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* 7. What is your ethnicity? (Mark all that apply.)

Arab/Middle Eastern

Asian/Pacific Islander

Black/African-American

Caribbean

Hispanic/Latino

Native American/Indigenous

White/Caucasian

Biracial/Multiethnic

Other (please specify)

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* 8. Do you currently have health insurance?

Yes, I do

No, I do not

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* 9. Does your loved one currently have health insurance?

Yes, they do

No, they do not

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* 10. Do you currently have a primary care doctor or medical center that you visit regularly for an annual check-up or whenever you're sick?

Yes

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* 11. Does your loved one currently have a primary care doctor that they visit regularly for an annual check-up or whenever they're sick?

Yes

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* 12. Would you (or your loved one) like someone to contact you to help schedule an appointment during one of our FREE health screening days?

Yes