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City of Vernon Residential Survey

The city of Vernon is conducting a health survey to better understand the needs of residents in Vernon. Your responses will allow us to create more effective public health programs. If you have any questions, contact us at WEA-Outreach@cityofvernon.org. Thank you for your participation.
(How strongly do you agree with the following statement)
The City of Vernon provided enough __________
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
information on COVID-19 during the pandemic.
access to COVID-19 testing.
access to COVID-19 Vaccines.
In the past 12 months have you experienced any of the following challenges to accessing healthcare? (select all that apply)
Imagine that basic health care services, such as medical check-ups, vaccinations, or blood pressure screenings, were available in Vernon. Which of these services would you and/or members of your household be interested in receiving? (select all that apply)
If mental health services were available to you in the city of Vernon how likely would you and/or a member of your household use these services?
Are you and/or a member of your household, currently enrolled in any of the following programs? (select all that apply)
How much do you agree or disagree with the following statement?
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
The air in my neighborhood is polluted
The water in my neighborhood is polluted.
I'm worried about extreme heat.
How noisy my neighborhood is.
My neighborhood has trees and other green areas.
Do you have air conditioning in your home?
The last time there was a very hot day, what did you do? (select all that apply)
Do you regularly visit parks or green areas?
If no, why don’t you regularly visit parks or green areas? (select all that apply)
What types of green spaces and recreational areas would you and/or members of your household be interested in having access to within the City of Vernon? (select all that apply)
During the past 6 months were you worried whether your medications would run out or that you would be unable to obtain them?
What's your age?
What was your sex assigned at birth?
What was your gender identity?
Are you of Hispanic, Latino, or Spanish origin?
What's your race? (select all that apply)
What is the Highest Level of Education You've Completed?
What is your current employment status?
What is your annual household income?
How many people (including yourself) live in your household?
What language(s) do you primarily speak at home?
What's your WORK zipcode? (if you don't know your work address or are currently unemployed please respond with a 0)
What's your HOME zipcode?
What's your primary mode of transportation?
Do you have reliable access to transportation?
Are there sidewalks on the streets in your neighborhood?
During an average week, how often do you walk in your neighborhood (to run an errand, find food, or go to the park)?
Do you feel safe when you are walking in your neighborhood?
How often do you engage in physical activity per week?
Where do you go to get physical activity? (Select all that apply)
During a typical week how likely are you to shop or get food at any of these places?
Extremely Likely
Likely
Neutral
Unlikely
Never
Grocery Store
Corner Store
Food trucks
Fast food
Restaurants
How do you travel to obtain food? (select all that apply)
Do you regularly cook food at home?
If no, what are the barriers to cooking food at home? (select all that apply)
Do you smoke cigarettes or use other tobacco products?
Do you regularly consume alcohol? 
If yes, how many drinks per week?
Have you been vaccinated against COVID-19?
Have you had a routine health check-up within the past year?
Have you ever been diagnosed with a chronic illness such as diabetes, heart disease, or cancer?
Have you ever been diagnosed with a mental health condition such as depression or anxiety?
Do you have health insurance?
Which of these health services are important to you and/or your family members? (Select all that apply)
What's your primary phone number? Please note, this will not be shared with any third-party vendors
What's your primary email? Please note, this will not be shared with any third-party vendors
Are there any other health concerns or issues that you would like to mention?
Current Progress,
0 of 47 answered