Jessamine County Health Department (JCHD) Services/Programs

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* 1. Have you ever utilized services and/or programs from the Jessamine County Health Department (JCHD)?

Yes

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* 2. Please check all preventative (medical) services that you have used. (check all that apply)

WIC

Birth Control

Cancer Screening (Pap smear, Mammogram, Colon)

STD Screening and treatment (Sexually Transmitted Disease)

HIV testing

Nutritional Counseling

Diabetes Screening

Adult Immunizations (Flu, Pneumonia, Shingles, Tdap)

Childhood Immunizations

TB Screening

Pregnancy Test

Well Child Checkups

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* 3. Please select the following that pertain to you. (check all that apply)

I have had a septic system installed and/or repaired on my property.

I have eaten at a restaurant in Jessamine County.

I have eaten food at a festival/fair in Jessamine County.

I have eaten food from a convenience store (gas station) in Jessamine County.

I have purchased groceries from local grocery stores (Kroger, Wal-Mart, Save-A-Lot, etc) and/or bakery in Jessamine County.

My child(ren) attend school at either a public or private school in Jessamine County.

I (or someone in my family) have patroned a public and/or semi-private (country club, hotel, apartment) swimming pool in Jessamine County.

I (or someone in my family) have received food from a daycare and/or nursing home in Jessamine County.

I have spent the night at a motel, hotel, or bed-and-breakfast in Jessamine County.

I have attended a community rabies vaccination clinic for my cat and/or dog in Jessamine County.

I have been involved in an animal bite investigation in Jessamine County.

I have received a tattoo and/or body piercing (including ear piercing) from a permitted facility in Jessamine County.

I (or someone in my family) have attended a summer camp in Jessamine County.

I have received a radon test kit from the Jessamine County Health Department.

I have received information about mold from the Jessamine County Health Department.

I have received information about bed bugs from the Jessamine County Health Department.

I have received information about mosquitos and/or other pest from the Jessamine County Health Department.

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* 4. Have your children been involved in any of the health programs/services at school? (check all that apply)

Fluoride Varnish

Dental Sealants

Teens Against Tobacco Use (TATU)- an anti-tobacco teen mentoring program

Postponing Sexual Involvement (PSI) - an abstinence-only teen mentoring program

Choosing the Best (CTB) - an abstinence-only education program

Reducing the Risk (RTR) - a comprehensive sexuality education program

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* 5. Are you aware or have you participated in the HANDS program (Health Access Nurturing Development Services) for first time parents?

Yes

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* 6. Have you participated in any of the following worksite/offsite wellness programs in which the Jessamine County Health Department was involved? (check all that apply)

Flu Shot Clinics

Tobacco Cessation Classes (Cooper/Clayton)

Exercise Classes (Exercise with Ease and/or Strong Woman)

Diabetes Classes

Health Fairs

Community presentations

Other (please specify)

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* 7. Where do you go for health information? (Choose all that apply)

medical provider

newspaper

health magazines

TV/radio

social media (Facebook, twitter, etc...)

Internet

word of mouth (friends, family)

Other (please specify)