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Des Moines Valley Health & Services- Community Multi-Unit Housing Assessment

Help shape a healthier future for our community. Des Moines Valley Health and Human Services (DVHHS) is collaborating with local partners to identify and address health inequities, focusing on housing, in Cottonwood and Jackson Counties. Your anonymous feedback on this assessment will highlight community strengths and weaknesses, guiding solutions to ensure everyone has the opportunity for better health.

Thank you for taking the time to help us build a healthier community.
1.What is your Zipcode
2.What is your age?
3.What best describes your race/ethnicity?
4.Which of the following gender categories best describes how you self-identify?
5.What Industry do you work in?
6.What is your current employment status?
7.Please indicate household income
8.Please indicate relationship status
9.Do you have any child(ren) under 18 years of age living in your home/apartment?
10.In the past 12 months have you experienced any physical health problems that you believe are related to your housing condition?
11.Indicate your Top Three Priorities of the following characteristics when choosing a neighborhood to live in.
12.Prioritize the Top Three Priority housing-related challenges facing your community.
13.Indicate your Top Three Priorities current housing needs.
14.Think about the place you live. What concerns do you currently have? Please select all that apply
15.What are the Top Three Priorities you feel should be focused on in your community/county? Please select only three choices.
16.What role do you feel the city or county government should play in sustaining fair, safe, and predictable housing within the community or county?
17.Have you ever turned down housing rentals or ownership due to smoking (i.e. secondhand smoke, third-hand smoke exposure, etc.?)
18.Have you ever turned down housing rentals or ownership due to marijuana (i.e. secondhand smoke, third-hand smoke exposure, etc.?)
19.If you are a current tobacco user (i.e. cigarette, chewing, vaping/e-cigarette, etc.) are you interested in quitting?
20.If you are a current marijuana user (i.e. cannabis products, THC products, etc.) are you interested in quitting?
21.If you are a tobacco or marijuana user, how can we support you with quitting?
22.Does your home have any conditions that could increase risk during an emergency?
23.Does anyone in your household have a medical condition that could worsen during a housing or utility emergency?
24.Do you have access to a shelter during a storm?
25.Is there anyting else you would like to share?