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Your voice matters!

Thank you for taking the time to help us better understand your needs!

This brief survey helps organizations fund and work better together on the issues that matter most to you. It only takes 2-5 minutes to complete, and all responses are anonymous. The results will help prioritize needs in the next Allegany County Community Health Improvement Plan.

Please do not enter your name or personally identifiable information in open text fields. Once you complete the survey, you will be redirected to another page so that you can enter your name in the prize drawing.


The following survey is being conducted by the Allegany County Health Department with UPMC Western Maryland, HRDC, Inc. AHEC West, and Tri-State Community Health Center.

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* 1. What is your zip code?

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* 2. What issues matter most to you? Select all that apply.

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* 3. What is your age?

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* 4. What is your gender?

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* 5. What is your race and/or ethnicity? Select all that apply.

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* 6. What is your highest completed level of education?

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* 7. What best describes your status? Select all that apply.

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* 8. What is your household income?

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* 9. Are you a member of any of the following vulnerable populations? Select all that apply.

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