HHS Community Health Needs Assessment 2013

 
1. In what towns do you, a) live and/or b) work?
ab
Everett
Lynnfield
Malden
Medford
Melrose
North Reading
Reading
Revere
Saugus
Stoneham
Wakefield
Winthrop
Other
2. What is your gender?
3. What is your age?
4. What is your a) ethnicity and b) race?
EthnicityRace
Please answer both questions
5. What are the main languages you speak at home? Please check all that apply.
6. In what language do you prefer to receive your healthcare services? Please check one
7. Have you lived in the US all of your life?
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