Demographics

 
4% of survey complete.

As part of our Washington County Community Assessment for 2019, we would like you to take 10-20 minutes providing feedback and data about yourself and your household.  We really hope you will invest your time to complete the survey so that we can set priorities and make plans to improve the overall health of our community.  Please be assured that your responses will remain anonymous.  This survey is secure and HIPAA compliant. Thank you for your participation.  We value your time and input!  
More than one survey is allowed per household.
If you have questions while taking the survey, please contact Penny Pricer at penny.pricer@iconceptsinc.com.  

You do not have to complete the survey in one session.  Your responses will be saved for you as you go.  

When you complete the survey, you will have a chance to enter a drawing for up to $200 in Braum's Gift Cards.  

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* 1. Please select all the choices that describe your relationship to Washington County.

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* 2. Do you identify as

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* 3. What is your ethnicity? (Please select all that apply.)

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* 4. What language do you mainly speak at home?

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* 5. Which of the following best describes your current relationship status?

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* 6. How many children live in your household?

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