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Surveys
2015
April
D
Dallas County Community Health Interest Survey
Dallas County Community Health Interest Survey
0%
Exit Survey
This survey is sponsored by Des Moines University MPH Program and the Dallas County Public Health Nurses. The purpose of this survey is to gather information regarding stakeholder interest and activities impacting health priorities in Dallas County, IA. Results of this survey will be utilized to inform further stakeholder discussions as Dallas County designs a Community Health Needs Assessment.
Your organization has been identified as a significant contributor in Dallas County, IA. As we move through the process of designing the Dallas County Community Health Needs Assessment, collaborative input from your organization will add value to our efforts.
Questions regarding this survey can be sent to Jennifer Walters (
[email protected]
) and Allison Peel (
[email protected]
)
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Respondent Organization:
Respondent Name:
Respondent email:
Respondent phone:
May we identify you in our final analysis report?
Yes
No
What best describes your primary role in the Dallas County community? (select one)
City/County Government
Private Practice/Small Group Health Care Provider/Organization
Accountable Care Organization/Health System/Hospital
Nursing Home
Behavioral Health Organization
Education
Children’s Services
Senior Services
Social Services
Other Community Based Organization
Small Business
Large Employer/Industry
Economic Development
Law Enforcement
Public Health Organization
Transportation
Citizen Volunteer
Other
Which of the following factors do you feel are most negatively impacting the health of Dallas County? Please rank your top 5 responses from 1-5, with 1 being the most significant issue.
Limited ability to understand, communicate with, and interact effectively with people from other cultures
Lack of social connections and support
Low household incomes
Problems with transportation
Lack of access to adequate health insurance
Limited knowledge of how to use health insurance
Lack of primary care physicians in the local community
Lack of access to adequate dental insurance
Limited knowledge of how to use dental insurance
Lack of dental providers in the local community
Lack of access to mental health services
Limited availability of nutritional food in the community
Cost of nutritional food in the community
Limited availability of venues to engage in physical activity
Low levels of health literacy (i.e. problems understanding information about your health)
Lack of education about making health-conscious decisions
Lack of motivation to make health-conscious decisions
Poor environmental conditions (e.g., air and water pollution)
Inadequate or unaffordable housing/living conditions
Unemployment or underemployment
Violence
Other crime
None
Other
Does your organization collect primary data on Dallas County that could be summarized and shared for the Community Health Needs Assessment? (i.e.: number of enrollees in a program, demographic summaries, etc.) (select one)
Yes
No
Does your organization use health or other data for program planning? (i.e.: County Health Rankings, Census data, previous Dallas County Health Assessment, etc.) (select one)
Yes
No
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