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CCHD Community Health Needs Assessment Survey

This survey is being conducted by the Central Connecticut Health District, the local health department serving Berlin, Newington, Rocky Hill, and Wethersfield. We want to hear your thoughts about your health and the health of your community. Your input helps us understand community strengths, challenges, and priorities so we can better support residents.

This survey has two parts:
Part One: Community Health Concerns
Part Two: Demographic Information

Part One is divided into two sections. The same list of topics appears in both sections:
1. Section One: Rate how important each issue is to you personally.
2. Section Two: Rate how difficult it is to obtain or access services or resources related to the topics in Berlin, Newington Rocky Hill, or Wethersfield.

This survey should take less than 10 minutes to complete.

Participation is voluntary and confidential. Please complete this survey only once. If you prefer not to take the survey online, a paper copy of the survey is available at our main office at 2080 Silas Deane Hwy, Suite 100, Rocky Hill, CT 06067.

Completion of the survey indicates you are at least 18 years old.
If you have questions, please contact (860) 785‑8380 ext. 216.
PART 1: COMMUNITY HEALTH CONCERNS
1.Please rate how important the issues or services listed below are to you.
Not important
Slightly important
Unsure
Important
Very Important
Services for Alzheimer's disease, dementia, and cognitive health.
Clean air and safe drinking water.
Information that helps residents understand how to access health services.
Prevention of youth access to cigarettes, vaping products, and smokeless tobacco.
Underage drinking in your community.
Affordable and accessible recreational opportunities for all ages and abilities.
Mental health services and treatment.
Education on the prevention of unsafe sex and how to access contraceptives.
Preparation for severe weather, wildfires, and flooding.
Local programs supporting healthy weight and active lifestyles.
Healthcare regardless of insurance status.
Information on responding to power, fuel, or water system disruptions.
Management of chronic diseases (diabetes, cardiovascular disease, arthritis).
Availability and affordability of healthy foods.
Availability of the treatment for alcohol and drug dependence.
Talking with children about drugs and alcohol.
Dental care and preventive dental screenings.
Having children up to date on immunizations.
Having adults receive recommended vaccinations.
Information on responding to mass violence or terrorism incidents.
Programs that prevent drug and alcohol misuse.
Early prenatal care.
Safe public infrastructure (sidewalks, lighting, trails) to support physical activity.
Availability of safe and affordable housing.
Programs to reduce loneliness and social isolation.
Transportation options for all ages and abilities.
Addiction recovery programs (alcohol, drugs, gambling, etc.).
Smoking and vaping cessation programs.
2.Please rate how difficult it is to obtain or access services or resources related to the topics listed below in Berlin, Newington, Rocky Hill or Wethersfield:
Not difficult
Slightly difficult
Unsure
Difficult
Very Difficult
Services for Alzheimer's disease, dementia, and cognitive health.
Clean air and safe drinking water.
Information that helps residents understand how to access health services.
Prevention of youth access to cigarettes, vaping products, and smokeless tobacco.
Underage drinking in your community.
Affordable and accessible recreational opportunities for all ages and abilities.
Mental health services and treatment.
Education on the prevention of unsafe sex and how to access contraceptives.
Preparation for severe weather, wildfires, and flooding.
Local programs supporting healthy weight and active lifestyles.
Health care access regardless of insurance status.
Information on responding to power, fuel, or water system disruptions.
Management of chronic diseases (diabetes, cardiovascular disease, arthritis).
Availability and affordability of healthy foods.
Availability of the treatment for alcohol and drug dependence.
Talking with children about drugs and alcohol.
Dental care and preventive dental screenings.
Having children up to date on immunizations.
Having adults receive recommended vaccinations.
Information on responding to mass violence or terrorism incidents.
Programs that prevent drug and alcohol misuse.
Early prenatal care.
Safe public infrastructure (sidewalks, lighting, trails) to support physical activity.
Availability of safe and affordable housing.
Programs to reduce loneliness and social isolation.
Transportation options for all ages and abilities.
Addiction recovery programs (for gambling, alcohol, drugs, etc.).
Smoking and vaping cessation programs.
Part 2: DEMOGRAPHIC INFORMATION
Please tell us a little information about yourself. This information is anonymous and does not require any identifying information.
3.How would you rate your physical health?
Very Poor
Poor
Good
Very Good
Excellent
4.How would you rate your mental health?
Very Poor
Poor
Good
Very Good
Excellent
5.On average, how many cups of fresh, frozen, or canned fruits and vegetables do you have each day?
6.What is your age?
7.What town do you live in?
8.What is your gender?
9.Do you have any children under the age of 18 living in your home?
10.If you have health insurance what type do you have?
11.Please select which of the following best desribes your yearly total household income.
12.What level of education do you have?
13.Please use this space to tell us about an additional concern you have about health in your community: (limit 250 words)
Thank you for your feedback!