Yates 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 Yates 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?

Lead Poisoning Prevention Program

Immunization Program

Rabies Program

Communicable Disease Prevention

Emergency Preparedness

Free STD Testing and Treatment

EMS (Emergency Medical Services)

MOMS

Newborn Baby Visits

Children with Special Health Care Needs

Early Intervention

Preschool Program

Health Education

Chronic Disease Prevention

Injury Prevention

Tuberculosis Program

Other (please specify)

Question Title

* 7. Which of the following programs have you used or referred to?

Lead Poisoning Prevention Program

Immunization Program

Rabies Program

Communicable Disease Prevention

Emergency Preparedness

Free STD Testing and Treatment

EMS (Emergency Medical Services)

MOMS

Newborn Baby Visits

Children with Special Health Care Needs

Early Intervention

Preschool Program

Health Education

Chronic Disease Prevention

Injury Prevention

Tuberculosis Program

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
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
Immunization Program	Immunization Program Most important service	Immunization Program 2nd most important service	Immunization Program 3rd most important service	Immunization Program 4th most important service	Immunization Program 5th most important service
Rabies Program	Rabies Program Most important service	Rabies Program 2nd most important service	Rabies Program 3rd most important service	Rabies Program 4th most important service	Rabies Program 5th most important service
Communicable Disease Prevention	Communicable Disease Prevention Most important service	Communicable Disease Prevention 2nd most important service	Communicable Disease Prevention 3rd most important service	Communicable Disease Prevention 4th most important service	Communicable Disease Prevention 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
Free STD Testing and Treatment	Free STD Testing and Treatment Most important service	Free STD Testing and Treatment 2nd most important service	Free STD Testing and Treatment 3rd most important service	Free STD Testing and Treatment 4th most important service	Free STD Testing and Treatment 5th most important service
EMS (Emergency Medical Services)	EMS (Emergency Medical Services) Most important service	EMS (Emergency Medical Services) 2nd most important service	EMS (Emergency Medical Services) 3rd most important service	EMS (Emergency Medical Services) 4th most important service	EMS (Emergency Medical Services) 5th most important service
MOMS	MOMS Most important service	MOMS 2nd most important service	MOMS 3rd most important service	MOMS 4th most important service	MOMS 5th most important service
Newborn Baby Visits	Newborn Baby Visits Most important service	Newborn Baby Visits 2nd most important service	Newborn Baby Visits 3rd most important service	Newborn Baby Visits 4th most important service	Newborn Baby Visits 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
Early Intervention	Early Intervention Most important service	Early Intervention 2nd most important service	Early Intervention 3rd most important service	Early Intervention 4th most important service	Early Intervention 5th most important service
Preschool Program	Preschool Program Most important service	Preschool Program 2nd most important service	Preschool Program 3rd most important service	Preschool Program 4th most important service	Preschool Program 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
Chronic Disease Prevention	Chronic Disease Prevention Most important service	Chronic Disease Prevention 2nd most important service	Chronic Disease Prevention 3rd most important service	Chronic Disease Prevention 4th most important service	Chronic Disease Prevention 5th most important service
Injury Prevention	Injury Prevention Most important service	Injury Prevention 2nd most important service	Injury Prevention 3rd most important service	Injury Prevention 4th most important service	Injury Prevention 5th most important service
Tuberculosis Program	Tuberculosis Program Most important service	Tuberculosis Program 2nd most important service	Tuberculosis Program 3rd most important service	Tuberculosis Program 4th most important service	Tuberculosis Program 5th most important service

Other (please specify)