2015 Community Health Profile Feedback Survey Question Title * 1. Did you complete the 2015 Montgomery County Health Assessment Survey? Yes No Question Title * 2. Which sections of the 2015 Montgomery County Community Health Profile did you read? Nutrition Physical Activity Obesity Cancer Diabetes Heart Disease Tobacco Use Alcohol Use/Abuse Drug Abuse Sexual Health Access to Care Quality of Care Mental Health Maternal and Reproductive Health Water Quality Air Quality Education and Employment Poverty and Social Health Child Care Housing Senior Services and Concerns Teen Issues and Conerns Comments: Question Title * 3. Which topics of the 2015 Montgomery County Community Health Profile did you find MOST USEFUL to you? None Nutrition Physical Activity Obesity Cancer Diabetes Heart Disease Tobacco Use Alcohol Use/Abuse Drug Abuse Sexual Health Access to Care Quality of Care Mental Health Maternal and Reproductive Health Water Quality Air Quality Education and Employment Poverty and Social Health Child Care Housing Senior Services and Concerns Teen Issues and Conerns Comments: Question Title * 4. Which topics of the 2015 Montgomery County Community Health Profile did you find LEAST USEFUL to you? None Nutrition Physical Activity Obesity Cancer Diabetes Heart Disease Tobacco Use Alcohol Use/Abuse Drug Abuse Sexual Health Access to Care Quality of Care Mental Health Maternal and Reproductive Health Water Quality Air Quality Education and Employment Poverty and Social Health Child Care Housing Senior Services and Concerns Teen Issues and Conerns Comments: Question Title * 5. In your opinion, what are the top three public health issues that Montgomery County should focus on improving? Nutrition Physical Activity Obesity Cancer Diabetes Heart Disease Tobacco Use Alcohol Use/Abuse Drug Abuse Sexual Health Access to Care Quality of Care Mental Health Maternal and Reproductive Health Water Quality Air Quality Education and Employment Poverty and Social Health Child Care Housing Senior Services and Concerns Teen Issues and Conerns Other(s), Please Explain: Question Title * 6. In your opinion, was there a specific issue or topic not addressed in the 2015 Community Health Profile? Please Explain. Question Title * 7. Would you be willing to participate in community focus groups discussing future steps for improving health in Montgomery County? If yes, please provide your contact information. All information will be kept confidential and only seen by Health Department staff. If you would like to participate but do not want to provide any contact information, call 765-364-6440 for more information. Done