Central Connecticut Health District's Resident Interest Survey

Question Title

* 2. What vaccines are you interested in learning more about it? (Select all that apply)

Respiratory Syncytial Virus

Shingles

Covid 19

Pneumococcal

Pertussis ("whooping cough")

Measles, Mumps, Rubella (MMR)

Other (please specify)

Question Title

* 3. Which topic(s) are you interested in learning about, and which way would you like to learn it? (select all that apply)

	In- Person	Social Media	Newsletter	Virtual	Hybrid (in-person/ virtual)
Nutrition	Nutrition In- Person	Nutrition Social Media	Nutrition Newsletter	Nutrition Virtual	Nutrition Hybrid (in-person/ virtual)
Heart Health	Heart Health In- Person	Heart Health Social Media	Heart Health Newsletter	Heart Health Virtual	Heart Health Hybrid (in-person/ virtual)
Health and Climate Change	Health and Climate Change In- Person	Health and Climate Change Social Media	Health and Climate Change Newsletter	Health and Climate Change Virtual	Health and Climate Change Hybrid (in-person/ virtual)
Pre-Diabetes- Diabetes	Pre-Diabetes- Diabetes In- Person	Pre-Diabetes- Diabetes Social Media	Pre-Diabetes- Diabetes Newsletter	Pre-Diabetes- Diabetes Virtual	Pre-Diabetes- Diabetes Hybrid (in-person/ virtual)
Substance Use Disorder	Substance Use Disorder In- Person	Substance Use Disorder Social Media	Substance Use Disorder Newsletter	Substance Use Disorder Virtual	Substance Use Disorder Hybrid (in-person/ virtual)
Healthy Relationships	Healthy Relationships In- Person	Healthy Relationships Social Media	Healthy Relationships Newsletter	Healthy Relationships Virtual	Healthy Relationships Hybrid (in-person/ virtual)
Mental Health	Mental Health In- Person	Mental Health Social Media	Mental Health Newsletter	Mental Health Virtual	Mental Health Hybrid (in-person/ virtual)
Tick Borne Diseases	Tick Borne Diseases In- Person	Tick Borne Diseases Social Media	Tick Borne Diseases Newsletter	Tick Borne Diseases Virtual	Tick Borne Diseases Hybrid (in-person/ virtual)
Sexual Transmitted Diseases	Sexual Transmitted Diseases In- Person	Sexual Transmitted Diseases Social Media	Sexual Transmitted Diseases Newsletter	Sexual Transmitted Diseases Virtual	Sexual Transmitted Diseases Hybrid (in-person/ virtual)
Emerging Infectious Diseases (such as Avian Flu)	Emerging Infectious Diseases (such as Avian Flu) In- Person	Emerging Infectious Diseases (such as Avian Flu) Social Media	Emerging Infectious Diseases (such as Avian Flu) Newsletter	Emerging Infectious Diseases (such as Avian Flu) Virtual	Emerging Infectious Diseases (such as Avian Flu) Hybrid (in-person/ virtual)
Fall Prevention	Fall Prevention In- Person	Fall Prevention Social Media	Fall Prevention Newsletter	Fall Prevention Virtual	Fall Prevention Hybrid (in-person/ virtual)
Chronic Conditions	Chronic Conditions In- Person	Chronic Conditions Social Media	Chronic Conditions Newsletter	Chronic Conditions Virtual	Chronic Conditions Hybrid (in-person/ virtual)
Children and Teen Health	Children and Teen Health In- Person	Children and Teen Health Social Media	Children and Teen Health Newsletter	Children and Teen Health Virtual	Children and Teen Health Hybrid (in-person/ virtual)
Maternal Health	Maternal Health In- Person	Maternal Health Social Media	Maternal Health Newsletter	Maternal Health Virtual	Maternal Health Hybrid (in-person/ virtual)

Other (please specify)

Question Title

* 4. For in-person events, how important is having food to your attendance?

Not important at all; if I care about the topic, I will attend.

Somewhat important

Important

Very Important; If there is no food, I will not attend

Question Title

* 5. Please select any of the below services you may be interested in receiving at Central Connecticut Health District.

HgA1C (blood sugar measurement over last three months)

Lead testing

Cholesterol screening

Blood Pressure Screening

Foot Care for people without diabetes

HIV/ Hep C screening

PPD (Tuberculin skin test)

Tdap Vaccination (for adults who will be near children less than one year- "whooping cough" protection)

Other vaccines (please list)

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* 6. If comfortable, please let us know which town you live in.

Rocky Hill

Newington

Berlin

Wethersfield

Other (please specify)

Question Title

* 7. If comfortable, please share your age group with us.

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Central Connecticut Health District's Resident Interest Survey

Question Title

* 1. Are you aware that we offer flu vaccines throughout the Fall?

Question Title

* 2. What vaccines are you interested in learning more about it? (Select all that apply)

Question Title

* 3. Which topic(s) are you interested in learning about, and which way would you like to learn it? (select all that apply)

Question Title

* 4. For in-person events, how important is having food to your attendance?

Question Title

* 5. Please select any of the below services you may be interested in receiving at Central Connecticut Health District.

Question Title

* 6. If comfortable, please let us know which town you live in.

Question Title

* 7. If comfortable, please share your age group with us.

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* 8. Would you like to receive our monthly newsletter? If so, please provide your email address below.