Surveys 2015 February W Walnut Health and Wellness Initiative 2015

Walnut Health and Wellness Initiative 2015 Walnut Health and Wellness Initiative 2015

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Exit Survey

Hello!You are invited to participate in our survey to measure the quality of life in the Walnut community. We want to make sure projects being promoted by the Health and Wellness Initiative are relevant and important to our community. In this survey, approximately 2,000 people will be asked to answer questions about health and wellness. It will take less than ten minutes to complete the questionnaire.Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact the Health and Wellness Committee by email at [email protected] you very much for your time and support. Please start with the survey now by clicking on the Continue button below.       What is the most important factor for improving the quality of life in a community?   Access to Wellness Facilities   Healthy Behaviors and Lifestyles   Awareness about Making Healthy Choices       From your perspective, what is the primary concern that affects health care in Walnut?   Ability to Travel to Primary Health Care Provider   Availability of Health Care   Availability of Insurance   Cost of Health Care   Cost of Prescription Drugs       What prevents you from making healthy choices in what you eat?   Availability of Healthy Food Items   Food Costs   Time to Prepare Healthy Food   Not Sure How to Prepare Healthy Food       What is the most important health problem that affects our community?   Aging   Dental Problems   Diabetes   Heart Disease   High Blood Pressure   Mental Health Problems   Respiratory Disease       What risky behavior has the greatest impact on overall health in the Walnut community?   Alcohol Abuse   Being Overweight   Drug Abuse   Lack of Exercise   Poor Eating Habits   Tobacco Use     Please rate overall health in the following categories: Walnut Community Your Own Personal Health Walnut Schools       During the past few months, to what extent has your physical health or emotional state interfered with your normal social activities with family, friends, neighbors, church, or social groups?   Not At All   Slightly   Moderately   Quite a Bit   Extremely     How much has your mental or physical health interfered with the following things? Not at All A Little Bit Moderately Quite a Lot Extremely Your Mood Ability to Get Out Your Sleep Ability to Work Recreational Activities Enjoyment of Life       Volunteering in community projects can greatly enhance Walnut's resources.   Do not agree   Somewhat agree   Completely agree

Walnut Health and Wellness Initiative 2015 [email protected]