Chemung County Branding Survey

We would be grateful for a few minutes of your time to complete the following brief survey to assess the current awareness of Public Health in your community. We value your honest input. We are collecting responses until May 29, 2015. Many thanks.

Question Title

* 1. What group do you represent?

A community agency

County government

Local government

County resident

Media

Education

Healthcare

Business

Other (please specify)

Question Title

* 2. Are you aware that there is a Public Health Department in Chemung County?

Yes

Question Title

* 3. Please see the Public Health Logo at the top of this survey. How does this symbol make you feel?

Safe

Calm

Nervous

Confident

Reassured

Fearful

Protected

Professional

Informed

Thorough

Reliable

Unsure

Other (please specify)

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* 4. When you hear the words "Public Health", what comes to mind?

Question Title

* 5. How familiar are you with Public Health?

Extremely familiar

Very familiar

Moderately familiar

Slightly familiar

Not at all familiar

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* 6. Which of the following services are you familiar with?

Health Promotion

Health Education

Communicable Disease Investigation

Children with Special Health Care Needs

Lead Poisoning Prevention Program

MICH (Maternal, Infant, Child Health Program)

Emergency Preparedness

Tuberculosis Control Program

Immunization Clinics

STD Testing and Treatment

Food Borne Illness Investigations

Rabies Control Program

Ticks/Mosquitoes

Food/Restaurant Inspections

Septic System

Clean Indoor Air Act

Private Water Supplies

Children's Camps Oversight

Obtaining Health Insurance Coverage

Vital Records

WIC

Certified Home Care

Other (please specify)

Question Title

* 7. Which of the following programs have you used or made a referral to?

Health Promotion

Health Education

Communicable Disease Investigation

Children with Special Health Care Needs

Lead Poisoning Prevention Program

MICH (Maternal, Infant, Child Health Program)

Emergency Preparedness

Tuberculosis Control Program

Immunization Clinics

STD Testing and Treatment

Food Borne Illness Investigations

Rabies Control Program

Ticks/Mosquitoes

Food/Restaurant Inspections

Septic System

Clean Indoor Air Act

Private Water Supplies

Children's Camps Oversight

Obtaining Health Insurance Coverage

Vital Records

WIC

Certified Home Care

Other (please specify)

Question Title

* 8. What Public Health services do you feel are the most important to you? Please rank the top 5 from most important to 5th most important. Please choose only 5.

	Most important service	2nd most important service	3rd most important service	4th most important service	5th most important service
Health Promotion	Health Promotion Most important service	Health Promotion 2nd most important service	Health Promotion 3rd most important service	Health Promotion 4th most important service	Health Promotion 5th most important service
Health Education	Health Education Most important service	Health Education 2nd most important service	Health Education 3rd most important service	Health Education 4th most important service	Health Education 5th most important service
Communicable Disease Investigation	Communicable Disease Investigation Most important service	Communicable Disease Investigation 2nd most important service	Communicable Disease Investigation 3rd most important service	Communicable Disease Investigation 4th most important service	Communicable Disease Investigation 5th most important service
Children with Special Health Care Needs	Children with Special Health Care Needs Most important service	Children with Special Health Care Needs 2nd most important service	Children with Special Health Care Needs 3rd most important service	Children with Special Health Care Needs 4th most important service	Children with Special Health Care Needs 5th most important service
Lead Poisoning Prevention Program	Lead Poisoning Prevention Program Most important service	Lead Poisoning Prevention Program 2nd most important service	Lead Poisoning Prevention Program 3rd most important service	Lead Poisoning Prevention Program 4th most important service	Lead Poisoning Prevention Program 5th most important service
MICH (Maternal, Infant, Child Health Program)	MICH (Maternal, Infant, Child Health Program) Most important service	MICH (Maternal, Infant, Child Health Program) 2nd most important service	MICH (Maternal, Infant, Child Health Program) 3rd most important service	MICH (Maternal, Infant, Child Health Program) 4th most important service	MICH (Maternal, Infant, Child Health Program) 5th most important service
Emergency Preparedness	Emergency Preparedness Most important service	Emergency Preparedness 2nd most important service	Emergency Preparedness 3rd most important service	Emergency Preparedness 4th most important service	Emergency Preparedness 5th most important service
Tuberculosis Control Program	Tuberculosis Control Program Most important service	Tuberculosis Control Program 2nd most important service	Tuberculosis Control Program 3rd most important service	Tuberculosis Control Program 4th most important service	Tuberculosis Control Program 5th most important service
Immunization Clinics	Immunization Clinics Most important service	Immunization Clinics 2nd most important service	Immunization Clinics 3rd most important service	Immunization Clinics 4th most important service	Immunization Clinics 5th most important service
STD Testing and Treatment	STD Testing and Treatment Most important service	STD Testing and Treatment 2nd most important service	STD Testing and Treatment 3rd most important service	STD Testing and Treatment 4th most important service	STD Testing and Treatment 5th most important service
Food Borne Illness Investigations	Food Borne Illness Investigations Most important service	Food Borne Illness Investigations 2nd most important service	Food Borne Illness Investigations 3rd most important service	Food Borne Illness Investigations 4th most important service	Food Borne Illness Investigations 5th most important service
Rabies Control Program	Rabies Control Program Most important service	Rabies Control Program 2nd most important service	Rabies Control Program 3rd most important service	Rabies Control Program 4th most important service	Rabies Control Program 5th most important service
Ticks/Mosquitoes	Ticks/Mosquitoes Most important service	Ticks/Mosquitoes 2nd most important service	Ticks/Mosquitoes 3rd most important service	Ticks/Mosquitoes 4th most important service	Ticks/Mosquitoes 5th most important service
Food/Restaurant Inspections	Food/Restaurant Inspections Most important service	Food/Restaurant Inspections 2nd most important service	Food/Restaurant Inspections 3rd most important service	Food/Restaurant Inspections 4th most important service	Food/Restaurant Inspections 5th most important service
Septic System	Septic System Most important service	Septic System 2nd most important service	Septic System 3rd most important service	Septic System 4th most important service	Septic System 5th most important service
Clean Indoor Air Act	Clean Indoor Air Act Most important service	Clean Indoor Air Act 2nd most important service	Clean Indoor Air Act 3rd most important service	Clean Indoor Air Act 4th most important service	Clean Indoor Air Act 5th most important service
Private Water Supplies	Private Water Supplies Most important service	Private Water Supplies 2nd most important service	Private Water Supplies 3rd most important service	Private Water Supplies 4th most important service	Private Water Supplies 5th most important service
Children's Camps Oversight	Children's Camps Oversight Most important service	Children's Camps Oversight 2nd most important service	Children's Camps Oversight 3rd most important service	Children's Camps Oversight 4th most important service	Children's Camps Oversight 5th most important service
Obtaining Health Insurance Coverage	Obtaining Health Insurance Coverage Most important service	Obtaining Health Insurance Coverage 2nd most important service	Obtaining Health Insurance Coverage 3rd most important service	Obtaining Health Insurance Coverage 4th most important service	Obtaining Health Insurance Coverage 5th most important service
Vital Records	Vital Records Most important service	Vital Records 2nd most important service	Vital Records 3rd most important service	Vital Records 4th most important service	Vital Records 5th most important service
WIC	WIC Most important service	WIC 2nd most important service	WIC 3rd most important service	WIC 4th most important service	WIC 5th most important service
Certified Home Care	Certified Home Care Most important service	Certified Home Care 2nd most important service	Certified Home Care 3rd most important service	Certified Home Care 4th most important service	Certified Home Care 5th most important service