Genesee-Orleans-Wyoming Community Health Assessment Feedback Form

The Genesee, Orleans, and Wyoming County Health Departments (GOW) continually gather data on the GOW Community Health Assessment (CHA) and publish the findings every three years. Having your input will help us plan future health assessments.

Question Title

* 1. What county do you live in?

Genesee

Orleans

Wyoming

Other (please specify)

Question Title

* 2. What best describes you?

Community Resident

Community-based Organization Employee

Work for Private Employer

Work for Healthcare Organization

Self-employed

Question Title

* 3. Do you partner with any of the three (3) Health Departments?

Yes

Question Title

* 4. Have you reviewed the 2019-2021 GOW CHA?

Yes