The Lincoln Trail Region Local Health Departments are conducting this survey to help us get a better understanding of the health needs of our community. This survey should take about 5 minutes to complete.  Please answer all questions on this survey.  There are no right or wrong answers.  All of your answers will remain anonymous.  This information will be used to improve the health and wellness of our population.  Your opinion is important!

If you have any questions please call your local health department:
 
Lincoln Trail District Health Department
270-799-4231
 
Grayson County Health Department
270-259-3141
 
Breckinridge County Health Department
270-756-5121

Thank you very much for your response!
 

* 1. In the following list, what do you believe are the 3 most important health problems in our community (problems that have the greatest impact on overall community health)? Check only 3.

* 2. In the following list, what do you believe are the 3 most important risky behaviors in our community (behaviors that have the greatest impact on overall community health)? Check only 3.

* 3. In the following list, what do you believe are the 3 most important factors for a healthy community (Factors which improve the quality of life in a community)? Check only 3.

* 4. Where do you get your health information? Check your top 3 resources.

* 5. When you need health care, where do you go most often?

* 6. How often do you understand your healthcare provider's instructions?

* 7. What barriers affect your understanding of healthcare instruction? Choose all that apply.

* 8. Please enter your home zip code.

* 9. What is your sex?

* 10. What is your age?

* 11. What is your race/ethnicity?

* 12. What is your education level?

* 13. What is your marital status?

Report a problem

T