MCH COVID-19 Women's Health Survey

Question Title

* 1. Please choose your employer

Holthues & Associates

Dr. Hagerman's Office

ACE Hardware

Root Salon & Spa

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* 2. Where can you call in Fulton County to receive more information regarding primary care physicians and women’s health services?

Fulton County Health Department 419-337-0915

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* 3. Did you receive a wellness incentive bag and local resources from Fulton County Health Department Staff?

Yes

Question Title

* 4. At what time should you start taking prenatal vitamins?

Once you find out you are pregnant

2nd month of pregnancy

Before trying to conceive

You should not take prenatal vitamins

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* 5. How often should women see their primary care physician for a wellness check?

Never

Annually

Every 5 years

Every 3 years

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* 6. When should women start preparing for pregnancy?

One week before

Three months before

One month before

After passing a pregnancy test

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* 7. Select your FCHC Wellness Center choice

One-Month FCHC Wellness Center Membership that needs to be redeemed by August 31, 2020

One-Month Unlimited FCHC Fitness Class Sessions that needs to be redeemed by August 31, 2020

Question Title

* 8. Please complete the information below so we are able to deliver the appropriate fitness voucher to you.
As a THANK YOU for completing the MCH COVID-19 Women's Health Survey we would like to include you in a random drawing for a FitBit Versa.

Name

Email Address

Phone Number

MCH COVID-19 Women's Health Survey

Question Title

* 1. Please choose your employer

Question Title

* 2. Where can you call in Fulton County to receive more information regarding primary care physicians and women’s health services?

Question Title

* 3. Did you receive a wellness incentive bag and local resources from Fulton County Health Department Staff?

Question Title

* 4. At what time should you start taking prenatal vitamins?

Question Title

* 5. How often should women see their primary care physician for a wellness check?

Question Title

* 6. When should women start preparing for pregnancy?

Question Title

* 7. Select your FCHC Wellness Center choice

Question Title

* 8. Please complete the information below so we are able to deliver the appropriate fitness voucher to you. As a THANK YOU for completing the MCH COVID-19 Women's Health Survey we would like to include you in a random drawing for a FitBit Versa.

* 8. Please complete the information below so we are able to deliver the appropriate fitness voucher to you.
As a THANK YOU for completing the MCH COVID-19 Women's Health Survey we would like to include you in a random drawing for a FitBit Versa.