Dear Community Member,

Below is a brief survey to get your opinions on health concerns you have regarding our community. 

Please consider filling it out because it will help inform our work to let us know what we as a community need to work on to make a healthier and safer Wayne County. Once you are finished with the questions, please remember to click the submit button at the bottom of the page. 

Thank you,

Nicholas Cascarelli EdD
Wayne County Health Commissioner

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* 1. In the following list, what do you think are the three most important factors for a "Healthy Community"?

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* 2. In the following list, what do you think are the three most important "health problems" in our community?

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* 3. In the following list, what do you think are the three most important "risky behaviors" in our community? (Those behaviors which have the greatest impact on overall community health.)

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* 4. What are the issues that prevent you from accessing care? (Check all that apply)

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* 5. What zip code do you live in?

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* 6. Age

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* 7. Sex

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* 8. Race

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* 9. Are you of Hispanic origin?

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* 10. What is your household income?

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