2024 Cancer Screening Survey

The Center for Disease Control's U.S. Preventive Services Task Force recommends that adults ages 45-75 be screened for colorectal cancer. A colonoscopy is one of several screening tests for colorectal cancer. The decision to be screened between the ages of 76 and 85 should be made on an individual basis. If you are older than 75, talk to your doctor about screening.

Ashland County has a high incidence rate of colorectal cancer. Ashland County Health Department and the Health and Wellness Target Action group are interested in finding out why. Please consider helping us by completing the following survey. All answers are completely confidential and will only be reported in aggregate numbers as to afford confidentiality.

If you have any questions regarding this survey, please call the Ashland County Health Department's Nursing Division at 419-282-4357.

1. What is your age range? *This question is required.

2. What is your zip code? *This question is required.

3. Have you ever had a colon cancer screening (stool sample or colonoscopy)? *This question is required.

4. If no, why not? (please select all that apply) *This question is required.

the procedure itself
fear of results
preparation for the procedure
not enough time
cost
Other - Write In Please enter an 'other' value for this selection.
Not applicable

5. If a free test for at home colon disease screening was provided at no cost, would you complete the screening?

To obtain a FREE at home colon cancer screening kit, please visit the Ashland Christian Health Center, 380 E. 4th Street, Ashland, Ohio, 44805 on Tuesdays from 6 P.M. to 8 P.M., for Saturdays 9 A.M. to 11 A.M. Please note: You will need to be seen at the Ashland Christian Health Center's walk-in clinic to obtain the free at home test kit.

6. If you are interested in entering a drawing for a $50 gas card, provided by our partners at United Way, please provide the following info: Name, email address, and phone number:

2024 Cancer Screening Survey

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