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Cass, Morgan and Scott Counties - Community Health Survey

Jacksonville Memorial Hospital, the Morgan County Health Department, the Cass County Health Department, and the Scott County Health Department are conducting a community health survey. Thank you for helping us identify the most important ways we can help our communities become as healthy as possible.

This survey should take no more than 7 minutes. Sharing your experience is so important! We appreciate your time.
ABOUT YOU
1.Please enter your zip code
2.Please select your age range
3.Select your gender
4.Select your highest level of education??
5.Please select your household income
6.Which categories describe you (check all that apply)
7.Which describes you (check all that apply)
8.Which best describes your employment status?
YOUR HEALTH
Imagine a ladder with steps numbered from 0 (the worst possible life) to 10 (the best possible life). Use this ladder to rate your current life and our expectations for the future.
9.On which step of the ladder would you say you personally feel you stand at this time?
10.On which step of the ladder do you think you'll stand about five years from now?
11.What prevents YOU from accessing healthcare when you need it? (check all that apply)
12.Check any challenges you face trying to maintain a healthy lifestyle. (check all that apply)
13.Have you or anyone in your household EVER experienced any of the following? (check all that apply)
If you need help, please call 211 for local resources or visit www.connect.findhelp.com.

For mental health support, call/text 988.

If you are experiencing domestic violence, please reach out to 1-800-559-SAFE (7233).
14.What is ONE thing you could do to make the health of your community better?
15.What is the ONE thing you could do to make YOUR health better?
16.What contributes to YOUR good health the MOST?
YOUR PHYSICAL ENVIRONMENT
17.In the past 12 months, have any of these environmental conditions affected your health or daily life? (check all that apply)
18.What is your current housing situation?
YOUR TRANSPORTATION
19.How many minutes does it take you to get from your home to the following locations?
0-15 minutes
16-30 minutes
31-45 minutes
46 minutes - 1 hour
1 hour+
Not applicable
Work
School
Grocery Store
Dentist
Hospital/Health Clinic
20.How often do you have a situation where you can't reach your desired location because of a transportation issue?
YOUR COMMUNITY AND SOCIAL CONNECTIONS
21.Are your children (under 20) currently involved in any of the following? (check all that apply)
22.What places do you go for community and belonging? (check all that apply)
23.In the past 12 months, how often did you feel lonely or isolated from those around you?
24.Have you or anyone in your household EVER experienced any of the following? (check all that apply)
You did it! Your voice matters.
Thank you for taking this survey.