Working towards health equity and community wellness, the Jacksonville Hospital Partnership is conducting a comprehensive Community Health Needs Assessment (CHNA).

Let us know about the health of your community if you live in:
Baker, Clay, Duval, Nassau, and St. Johns Counties.

 The information gathered from this survey will help improve the health and wellness for all residents living in Northeast Florida. Population characteristics such as race, ethnicity, gender, sexual orientation, age, socioeconomic position, and geographic location play an influential role in an individual’s ability to achieve optimal health.

 Your participation will help improve access to healthcare resources in an equitable way for everyone!

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* 1. Where do you go for most of your healthcare? Please select one.

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* 2. What county do you live in?

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* 3. What zip code do you currently reside in?

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* 4. Do you have access to the following in your community?

  Yes No
Safe and Affordable Housing
Safe Parks and Recreation Spaces
Healthy Food Options (i.e. grocery stores, farmer’s markets, healthy restaurants)
Specialty Health Care Providers
Primary Care Doctors
Public Transportation
Health Clinics
Urgent Care Clinics

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* 5. Which of the following conditions has made it difficult for you to obtain medical services? Please select all that apply.

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* 6. Which of the following conditions has made it difficult for you to obtain dental services? Please select all that apply.

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* 7. Which of the following conditions has made it difficult for you to obtain mental health services? Please select all that apply.

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* 8. How would you rank your knowledge of what a person needs for optimal health? (5 being the best, 1 being the least)

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* 9. Do any of the following limit your ability to live a healthy lifestyle? Select all that apply.

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* 10. What is the top environmental health concern that affects your community? Select one.

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* 11. What is the top social issue that affects health in your community? Select one.

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* 12. What is the top economic issue that affects health in your community? Select one.

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* 13. Have you ever experienced discrimination in any of the following places? Check all that apply.

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