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Bracken County Health Department Community Health Assessment

Community Health Assessment Questions

3. Are you  ?
4. Are you Hispanic, Latino(a), or Spanish? 
5. What is your race?  
Please select all that apply.
6. In your opinion, what are the most important health problems in our community? Please select the top 3.
  *This question is required.
  • * This question is required.
7. In your opinion, what are the risk factors in our community that have the greatest impact on our health?  Please select the top 3
  • * This question is required.
8. In your opinion what are the strengths of our community that can help our citizens be healthier?  Please select the top 3.
  • * This question is required.
9. Which populations do you think have the greatest health challenges in our community? Please select your top 3.
This question requires a valid number format.
11.  About how long has it been since you last visited a doctor, nurse, or other healthcare provider for a routine check-up?
12.

If you have not seen a doctor, nurse, or other healthcare provider in the last year for a routine check-up, or delayed immediate care, what was the primary reason?

12.

Have you personally experienced or been diagnosed with any of the following? 

  • * This question is required.