Please take a moment to complete the survey below as a request from the Pike County Health Department. You are respectfully being asked to provide your thoughts on health concerns facing residents in Pike County regarding maternal, infant, and child health. The Pike County Health Department and other community partners will use the results of this survey and other information to identify the most pressing health issues which can be addressed through community action. Remember…your opinion is important!  Thank you and if you have any questions, please contact PCHD at 573-324-2111.

* 1. Please check the top 3 health concerns that you believe are the MOST important for: Pregnant women & women who could
become pregnant in Pike County

* 2. Please check the top 3 health concerns that you believe are the MOST important for: Babies (0-1 year old) in Pike County

* 3. Please check the top 3 health concerns that you believe are the MOST important for: Children and teens in Pike County

* 4. What do you see as the TOP STRENGTH(S) in Pike County in regards to improving the health of pregnant women, women who
could become pregnant, babies, children and teens?

* 5. What do you see as the TOP WEAKNESSES in Pike County in regards to the health of pregnant women, women who could
become pregnant, babies, children and teens?

T