*****Chance to win a $40 Kwik Fill gas card with completion of this survey*****
We need YOUR help!
You can make a difference in the health and well-being of communities you care about in Chautauqua County!
Help us figure out the best ways to meet the health care needs of communities across our county.
Please take a few minutes of your time to fill out our completely confidential survey. Personally identifying information is not required; responses cannot be tied back to any individual.
*After you finish the survey, you will have the option to enter your name and contact information for a chance to win a gas card. This form is not required, and not a part of the initial survey- results are recorded separately.*
This information will be used by the Chautauqua County Department of Health and Human Services and local hospitals to find out what health issues are important to residents and how to make the community a healthier place to live.
Brooks Memorial Hospital----Chautauqua County Department of Health and Human Services----Chautauqua County Department of Mental Hygiene----Chautauqua County Health Network----Millenium Collaborative Care----P2 of WNY----The Chautauqua Center----TLC Health Network----WCA Hospital----Westfield Memorial Hospital