Indian River County PACE-EH 2022 Survey
WHAT DO YOU THINK?
The Department of Health in Indian River would like to identify the needs of communities within the county. Your input is important because it is the basis for assessing which environmental health problems exist in your community. Please assist us by completing this survey and returning it to the Health Department or Dasie Hope Center. Questions? Contact Molly or Julianne at 772-794-7410. Thank you for your participation!
1.
Where do you live?
Fellsmere
Wabasso
Roseland
Orchid
Windsor
Central Beach
City of Vero Beach
West Vero Beach
Gifford
West Wabasso
Winter Beach
Summer Place
Florida Ridge
Dixie Heights
Sebastian
Vero Beach
Oslo Park / Vero Highlands (South County)
2.
What is your zip code?
32948
32957
32958
32960
32961
32962
32963
32964
32965
32966
32967
32968
32969
32970
32971
32978
3.
How many people currently live in your household?
4.
What is your age?
5.
How many of the members of your household are under the age of 18?
6.
Does your community need assistance and/or information on the following? (mark all that apply)
Affordable childcare
Affordable elder care services
Parenting classes
Family Planning
Mental health / counseling
Substance abuse / addiction recovery
Domestic violence / sexual assault services
Women's health
Sexual health
Free health screenings
Disability services
Health Insurance/Medicare/ Medicaid information & enrollment
Legal assistance (immigration, foreclosure, marital, etc.)
Job training & application assistance
Affordable housing
Unemployment benefits application assistance
Transportation services
English language classes
Nutrition / cooking classes
Physical activity opportunities / classes
Other (please specify)
7.
In the past month did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food?
No
One time
More than one time
8.
Are you usually able to get the food that you want to eat?
Yes
No
9.
If you answered "no" to the question above, what prevents you from getting the food you want to eat?
Price
Lack of transportation
Don't know where to find it
Travel time
Personal safety
Not available where I regularly shop
Lack of free time
Lack of cooking equipment
Other (please specify)
10.
How many days in the past month did poor physical health interfere with daily activities?'
0
1-5
6-10
11+
11.
How many days in the past month did poor mental health interfere with daily activities?
0
1-5
6-10
11+
12.
Are you aware of Community Supported Agriculture (CSA) or a food co-op in our county?
Yes
No
13.
In the past month, how often have you or someone in your household used each of the following sources to get food?
Never
Once
A few times
Often
Grocery Store
Never
Once
A few times
Often
Convenience store, carryout or corner store (eg., gas station, pharmacy, discount store)
Never
Once
A few times
Often
Fast Food Restaurant (i.e., has many locations and, often, a drive-through window)
Never
Once
A few times
Often
Sit-in Restaurant (i.e., has wait staff)
Never
Once
A few times
Often
Food Pantry
Never
Once
A few times
Often
Free Meal (e.g., Senior Center, church meal)
Never
Once
A few times
Often
Farmers’ Market or Produce Stand (when in season)
Never
Once
A few times
Often
Your own garden (when in season)
Never
Once
A few times
Often
14.
Please rate how important the following are in your decision about what food to buy
Not important
Important
Very Important
Taste
Not important
Important
Very Important
Nutritional value
Not important
Important
Very Important
Appearance
Not important
Important
Very Important
Price
Not important
Important
Very Important
Locally grown
Not important
Important
Very Important
Organically grown or grown without the use of pesticides
Not important
Important
Very Important
15.
In your neighborhood is there one of the following?
Yes
No
Yes but needs improvement
Sidewalks or walking / biking paths
Yes
No
Yes but needs improvement
Parks or playgrounds
Yes
No
Yes but needs improvement
Recreation or community center
Yes
No
Yes but needs improvement
Fresh foods / market
Yes
No
Yes but needs improvement
Public transportation / bus stops
Yes
No
Yes but needs improvement
Please tell us what improvements are needed
16.
What would make it easier for you to consume more fruits, vegetables and lean proteins? Please check the items that would make it easier.
Less expensive
More of these items provided at my food bank/food pantry/discount grocery program/delivery meal program
A community garden in my neighborhood where I can learn to grow my own food
More farmers markets or farm stands
Knowing how to grow my own food and/or having space to grow food
More time to prepare/cook meals
More grocery stores near where I live/work
More convenience stores that sell fruits, vegetables, and lean proteins
Transportation to places that sell fruit, vegetables and lean proteins
Knowing how to prepare fruits, vegetables and lean proteins
Assistance with the cost of starting a garden
Other (please specify)
