This survey is a chance for you to tell us what is most important to you. MiThrive, a collaborative body that brings together cross-sector partners including local health departments and hospitals across the 31 counties of Northern Lower Michigan, is working to improve the health of communities in these counties by collecting data, identifying key issues, and bringing people together for change.
What is important to the community? What resources and strengths does the community have that can be used to improve community health?
Instructions: This survey will take about 15 minutes to complete. Please select the best answers for each question.
Consent: Your participation in this survey is completely voluntary. Your answers are confidential. The survey data will be managed by MiThrive staff. Your answers will not be used to identify who you are. You are free to skip any question and stop taking the survey at any time. The information you provide will not be used for a discriminatory purpose and there is minimal risk to you for taking the survey.
At the end of the survey, you can choose to be entered into a drawing for a chance to win a $50 gift card. 31 winners will be chosen (One person per county) - must be 18 or older.
Data Transparency: Data collected will be used in the 2024 MiThrive Community Health Assessment and overall results shared on the Northern Michigan Community Health Innovation Region webpage. Any personal information will be kept confidential.
Translation & Accessibility: This form is available in Spanish. Click on the globe icon on the top-right corner of this page and select 'Spanish' from the dropdown menu.
Este formulario está disponible en español. Haga clic en el icono del globo terráqueo en la esquina superior derecha de esta página y seleccione 'Spanish' en el menú desplegable.
If you require accommodations to complete this survey such as for vision, hearing, or other disabilities, please email us at mithrive@northernmichiganchir.org and we would be happy to assist.
Submission Due Date: This form will close Sunday, October 6th at 11:59 PM. Please submit your response prior to this time.
Questions and concerns can be emailed to mithrive@northernmichiganchir.org.