Welcome!

Kings County Department of Public Health is conducting a Community Health Assessment (CHA) to identify and evaluate the health needs of the community. We are asking community members (those who live and/or work in Kings County) to complete this short, 10 minute survey to help prioritize community health issues and identify the areas of greatest need in Kings County. 
 
Be assured that this process is completely anonymous - we cannot access your name and your responses will be kept confidential. Your participation in this survey is entirely voluntary and you are free to leave questions unanswered. Thank you for helping us to better serve our community!

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1. Where do you live or reside in Kings County? (choose one)

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2. Where do you work? (choose one)

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3. Which of the following best describes your age?

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4. What is your gender identity?

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5. What is your sexual orientation?

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6. What is your race and/or ethnicity? (Select all that apply)

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7. What is your primary language spoken at home?

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8. How many children, ages 0-18, live in your household?

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9. What is the highest level of education you have completed?

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10. Are you currently employed?

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11. If you are currently employed, which of the following best describes your occupational category?

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12. What is your annual household income?

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13. Do you identify as having a disability?

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14. What is your current living situation?

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15. Do you identify as a Veteran?

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16. How often have you felt in physical danger within the last year?"

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17. While it can be hard to choose, do your best to select what you feel are the TOP 5 CONCERNS OF YOUR COMMUNITY? (please check your top 5)

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18. In your opinion, what is the PRIORITY of each of these needs IN YOUR COMMUNITY (Kings County) to be addressed by Kings County partners?

  HIGH PRIORITY MEDIUM PRIORITY LOW PRIORITY NOT A PRIORITY DON'T KNOW
Access to childcare
Access to healthy foods
Air and water quality
Access to primary healthcare (regular health check-ups, family doctor, etc.)
Access to dental/oral care
Access to vision healthcare
Access to mental healthcare 
Asthma and COPD
Cancer
Child abuse
Crime and violence
Diabetes
Disabilities
Early education/preschool
Employment
Food insecurity (not having enough food to eat) 
HIV/AIDS and STIs
Heart disease and stroke
Maternal and child/infant health
Mental health
Nutrition and physical activity 
Preventive practices (mammograms, vaccines/immunizations, health screenings, etc.)
Substance use
Tobacco and nicotine use
Tuberculosis
Wifi/internet access

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19. Do you have any other feedback or comments to share with us?

Thank you! Please send this survey to anyone you know who lives and/or works in Kings County. 

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