Community Health Survey

Please take a moment to complete the survey below.  The purpose of this survey is to get your opinions about community health problems/issues. Your Community will be provided with the results of this survey and other information to identify the most pressing problems that can be addressed through community action.  If you have previously completed this survey, please don’t fill out another.  Your opinion is important!  Thank you, and if you have any questions please contact us at 888-669-7154 or visit www.trphd.org.

To protect your identity and respect confidentiality the individual responses to this survey will not be shared.

* 1. In this survey, "community" refers the county in which you live. Please select one from the following list.

* 2. In the following list, what do you think are the three most important factors that define a "Healthy Community" ?  Select up to 3

* 3. In the following list, what do you think are the three most important "health problems" in your community ?Select up to 3

* 4. How would you rate your community's over all health?

* 5. How would you rate your own personal health?

* 6. How do you pay for your health care?

* 7. Within the past year, were you able to able to get needed healthcare?

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