3 minutes to complete
To complete the Community Health Assessment Survey, individuals must be at least 18 years old and reside in the community being assessed. They should have basic literacy skills to understand and respond to survey questions accurately. Participation is voluntary and responses should be kept confidential to ensure anonymity.
What is your Age?
What is your Gender?
What is your Ethnicity?
What is your Household Income?
What do you consider to be the three most important factors for a "Healthy Community"?
What are the three most pressing health-related problems in your community?
How would you rate your overall health?
What are the reasons for not having a regular healthcare provider?
How satisfied are you with the healthcare services available in your community?
What types of health services do you think are lacking in your community?
How do you usually find information about health-related issues?
What additional comments or suggestions do you have regarding health services in your community?
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I think BlockSurvey is good for short and long surveys. What I find the best is the fact that there are so many templates I can use and customize.
