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* 1. Please rank the importance of these HHS work areas to you: (1 is lowest priority, 5 is highest).

  1 2 3 4 5
Health education: healthy eating, exercise, healthy habits
Health clinics: blood pressure, vaccination
Suicide prevention
Substance abuse prevention and intervention
Hoarding support and intervention
Youth services for under-served young people
Restaurant food safety
Alcohol licensing
Environmental regulation and education: mosquitoes, public pools, lake water quality assurance, environmental hazards)
Social Services: connecting residents in need to resources, fuel assistance, mental health services, food, crisis intervention
School Health Services: school nurses
Emergency Preparedness

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* 2. What other areas of public health or human services would you prioritize?

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* 3. What Village do you live in?

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* 4. What is your age?

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* 5. Do you have any children under 18?

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* 6. What is your approximate average household income?

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* 7. Which race/ethnicity best describes you? (Please choose only one.)

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