Community Health Needs Assessment 2020

The Allegany County Health Planning Coalition is assessing the health needs of our community and would like your input. Please take a few minutes to respond to the following questions. Thank you!

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* 1. What are the causes of poor health in our community? Please check all that apply.

limited access to healthy food

poor housing conditions

lack of transportation

lower education levels

unemployment

poverty

lack of early childhood education (0-5yrs)

where you live

limited support system

limited health literacy

lack of interest

health not a priority

other- please specify:

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* 2. How would you rank the importance of these four categories for improving health, with 1 being the most important and 4 being less of a priority?

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* 3. What services/resources are needed in our community?

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* 4. In what town do you live?

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* 5. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65-74

75+

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* 6. What is your highest level of education?

8th grade or less

Some high school

High school graduate/GED

Some college

Associate’s degree

Bachelor’s degree

Graduate degree

Post graduate degree

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* 7. If you would like to be contacted to obtain more information, please add your name and email address or phone number below.

Name

Email Address

Phone Number