The Genesee, Orleans, and Wyoming County Health Departments and Hospitals are currently working with community partners to gather information from residents to help with public health planning. Please take a few minutes to fill out this survey; your responses will help us identify services in our communities that are working and ones that need to be improved. This survey will take about 15 minutes to complete. Please be assured that your responses are completely anonymous. If you don’t feel comfortable answering a question, please feel free to skip it and move on to the next one.

If you have any questions or if you need assistance with taking this survey, please reach out to your county contact below:

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* 1. Where do you get most of your health information? Select up to 3.

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* 2. If you didn’t see a primary care provider in the past year, what were the main reasons? Select all that apply.

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* 3. On average, how would you rate your physical health?

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* 4. Which, if any, of the following would help you become more active? Select all that apply.

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* 5. Does anything keep you from eating more fruits and vegetables every day? Select all that apply.

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* 6. On average, how would you rate your mental/emotional health?

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* 7. If you didn’t get the mental healthcare and/or substance use help you needed in the past year, what were the main reasons? Select all that apply.

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 25% of survey complete.

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