Skip survey header

Crater Area Community Survey

Community Health Survey

The Hopewell and Petersburg Community Health Assessment Team in collaboration with Crater Health District is administering this anonymous survey to gain a better understanding of health and quality of life from a resident's perspective! This survey will help us to identify assets as well as areas or issues needing attention and or improvement within our diverse community.

When responding to survey questions, think of "community" as the place where you live, work, play, and/or worship.
 
This question requires a valid number format.
3. What are the greatest strengths of your community?  (Select up to five) *This question is required.
  • * This question is required.
4. What would improve the quality of life in your community?  (select up to five) *This question is required.
  • * This question is required.
5. What health problems do you think have the biggest impact on your community? (select up to three) *This question is required.
  • * This question is required.
7. What are the barriers within your community that prevent you from physical activity?  (select up to three) *This question is required.
10. Where do you go for healthcare when you are sick? *This question is required.
  • * This question is required.
11. I pay for health care services through
12. In the past 12 months, did you have a problem getting the health care you needed for you or for a family member from any type of healthcare provider (e.g., dentist, pharmacy or other healthcare facility)?
13. Which of the following prevented you or your family member for getting the necessary healthcare (Choose as many as you need to )? 
  • * This question is required.
13. As far as you know, does your insurance provide coverage for mental health services?
14. If myself or a family member needed counseling for a mental health or drug/alcohol problem, I know where I can get these services? 
15. Are you familiar with the term "Trauma Informed Care"?

Please answer the following questions about yourself so that we can better understand how members of our diverse community feel about the topics listed above.

17. What is your age?
18. Which of the following best represents your race/ethnicity? 
19. Are you Hispanic or Latino?
20. What is your highest level of education completed? *This question is required.
21. I am/I  *This question is required.
22. What county/city do you work in (check all that apply)
  • * This question is required.