Franklin County Community-Based Survey Question Title * 1. How would you describe yourself? Woman Man Non-binary Prefer not to answer Not listed, please share more: Question Title * 2. How old are you? 15-24 25-34 35-44 45-54 55-64 65+ Question Title * 3. What is your race/ethnicity? White Black/African American Hispanic/Latinx Asian or Asian American American Indian/Alaska Native Native Hawaiian/other Pacific Islander More than 1 race Prefer not to answer Other Question Title * 4. What is your education level? Less than 9th grade 9th - 12th grade, no diploma High school graduate (GED) Associate degree or trade school Some college (no degree) Bachelor's degree Graduate or professional degree Question Title * 5. What is your household income? $10,000 to $19,999 $20,000 to $24,999 $25,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 or more Question Title * 6. How many people are living in your home? 1-2 3-4 5-6 7-8 More than 9 Question Title * 7. What are the top 3 issues that impact your quality of life? Low income/poverty Dropping out of school Housing conditions (poor housing, housing prices) Violent crime Drugs/alcohol/substance use Abuse (rape/sexual assault, child abuse) Transportation Health insurance Lack of access to enough food COVID-19 Other: Question Title * 8. What are the top 3 services that you feel are not available or need improvement in Franklin County? Animal control Childcare Elder care Services for people living with a disability Affordable health services Healthy food choices Housing (poor housing, housing prices) Number of healthcare providers Culturally appropriate health services Mental health and behavioral health/support groups Recreational facilities (parks, trails, community centers) Substance misuse services/recovery support Healthy family/teen activities Transportation Other: Question Title * 9. What are the top 3 health behaviors that you need more information on? Eating well/nutrition Using child safety car seats Exercising/fitness Suicide prevention Mental/behavioral health Domestic violence prevention Positive parenting Rape/sexual abuse prevention Preventative care (going to a dentist/doctor for check-ups and screenings, getting flu shots and other vaccines) Substance misuse prevention Quitting smoking/tobacco use Breastfeeding Getting prenatal care during pregnancy Caring for family members with special needs/disabilities Preventing pregnancy and sexually transmitted diseases (STDs) Other: Question Title * 10. Where do you get most of your health related information? Friends and family Internet Social Media Employer Television Radio Healthcare provider (doctor, nurse, PA, NP) My child's school Help lines Pharmacist Books/magazines Church Health department Health fairs/community events Community health worker Newspaper Other: Question Title * 11. What is stopping you from getting the care you need? No health insurance Insurance did not cover what I needed My share of the cost (deductible, co-pay) was too high My insurance of Medicaid was not accepted No way to get there Did not know where to go Could not get an appointment The wait was too long Did not speak my language Could not miss work to go Hours did not work with my availability No childcare options Other: Question Title * 12. What services do you use at the health department? Home health Environmental health Health education STD/STI treatment Child health Maternal health Adult health Family planning clinic Childhood vaccines Women, infants, and children (WIC) None of the above Question Title * 13. Is there anything else you would like us to know about your community? Question Title * 14. What other services do you wish the health department offered? Done