Community Opinion

Thank you for taking time to answer these questions. Your answers will help us make decisions about future community health programs related to healthy eating. This survey is anonymous and your answers are confidential. If you have any questions regarding the survey, please contact Lisa Salyers at 740-349-1562 or

* 1. Name three specific aspects of our community that help people eat healthy.

* 2. Are you aware of the following programs in our community that help people eat healthy? (Check all that apply) 

* 3. In your day to day life, what barriers do you experience that prevent you from eating healthy? What would help you overcome these barriers?

* 4. 38% of people in Licking County are overweight or obese. In your opinion, what factors in our community contribute to this problem? What do you think should be done to address this problem?

* 5. What strengths and assets could we build on in our community to improve this health problem?

* 6. What role could you play to help us implement this project in our community?

* 7. Could you suggest other organizations/groups in our community that could be involved with this project?

* 8. Do you ever have problems getting enough food for your family?

* 9. Which of these statements best describes the food eaten in your household in the last 12 months.

* 10. Here are some reasons why people don’t always have enough or the kinds of the foods they want to eat. Please indicate if any of the following is a reason why you don’t always have enough or the kinds of food you want.

* 11. A well-balanced meal contains the proper portions of fruits, vegetables, dairy, grains, and proteins. “We couldn’t afford to eat healthy balanced meals.” Was that often true, sometimes true, or never true for your household in the last 12 months?

* 12. Where does most of your food come from?

* 13. Are there other stores you would rather use but you don’t? Why not?

* 14. Do you think healthy food is accessible, available, and affordable to everyone in the community? Please explain your answer.

OPTIONAL: To help us make sure we get opinions from a cross section of the community, we ask the following questions. Your answers are confidential.

* 15. What is your age?

* 16. What is your gender?

* 17. What is your highest education level?

* 18. What is your ethnicity?

* 19. What is your race?

* 20. May we get in touch with you again to let you know how the project is progressing and discuss how you can best help ensure its success?