CITY OF NORWOOD COMMUNITY HEALTH ASSESSMENT 2017
Please take a few minutes to complete the 2017 City of Norwood Community Health Assessment. The Norwood Health Department will compile the information received from this survey. The information will help the Norwood Health Department to better serve the community and its needs.

This survey is completely ANONYMOUS. Please be as honest as possible. We want people of all races, incomes, family size, and ages to participate in this survey. YOUR OPINION MATTERS.

PART 1: Quality of Life Statements
Please tell us how you feel about the following statements.
How do you feel about this statement, “There is good healthcare in the City of Norwood”? Consider the cost and quality, number of options, and availability of healthcare in the city. *
How do you feel about this statement, “The City of Norwood is a good place to raise children”? Consider the quality and safety of schools and child care programs, after school programs, and places to play in this city. *
How do you feel about this statement, “The City of Norwood is a good place to grow old”? Consider the city’s elder-friendly housing, transportation to medical services, recreation, and services for the elderly *
How do you feel about this statement, “There is plenty of economic opportunity in the City of Norwood”? Consider the number and quality of jobs, job training/higher education opportunities, and availability of affordable housing in the city. *
How do you feel about this statement, “The City of Norwood is a safe place to live”? Consider how safe you feel at home, in the workplace, in schools, at playgrounds, parks, and shopping centers in the city. *
How do you feel about this statement, “There is plenty of help for people during times of need in the City of Norwood”? Consider social support in this city: neighbors, support groups, faith community outreach, community organizations, and emergency monetary assistance. *
PART 2: Community Improvement
Please look at this list of community issues. In your opinion, which issues most affect the quality of life in the City of Norwood? (Please choose no more than 5.) *
Required
In your opinion, which of the following services needs the most improvement in your neighborhood or community? (Please choose no more than 5.) *
Required
Part 3. Health Information
In your opinion, what health behaviors do people in the City of Norwood need more information about? (Please choose no more than 5). *
Required
Where do you get most of your health-related information? *
Required
What health topic(s)/ disease(s) would you like to learn more about? *
Your answer
Do you have children between the ages of 9 and 19 for which you are the caretaker? (Includes step-children, grandchildren, or other relatives) *
Which of the following health topics do you think your child/children need(s) more information about? Check all that apply *
Required
PART 4: Personal Health
These next questions are about your own personal health. Remember, the answers you give for this survey will not be linked to you in any way.
Would you say that, in general, your health is… *
Have you ever been told by a doctor, nurse, or other health professional that you have any of the following health conditions? *
Required
In the past 30 days, have there been any days when feeling sad or worried kept you from going about your normal business? *
In the past 30 days, have you had any physical pain or health problems that made it hard for you to do your usual activities such as driving, working around the house, or going to work? *
During a normal week, other than in your regular job, do you engage in any physical activity or exercise that lasts at least a half an hour? *
How many times do you exercise or engage in physical activity during a normal week? *
Where do you go to exercise or engage in physical activity? Check all that apply *
Required
If you said “no”, what are the reasons you do not exercise for at least a half hour during a normal week? If you exercise, please put N/A below. *
Your answer
Not counting lettuce salads or potato products (french fries), how many cups of vegetables do you eat in an average week? 1 cup = 12 baby carrots *
I do not eat vegetable
10 or more cups per week
How many cups of fruit do you eat in an average week? 1 apple = 1 cup *
I do not eat fruit
10 or more cups per week
How many cups fruit/vegetable juice do you drink in an average week *
I do not drink fruit/vegetable juice
10 or more cups per week
Have you been exposed to secondhand smoke in the past year? *
Where do you think you are exposed to secondhand smoke most often? (Check only one place) *
Do you currently smoke? (Include regular smoking in social settings.) *
Where would you go for help if you wanted to quit? *
During the past 12 months, have you had a seasonal flu vaccine? *
Part 5. Access to Care/ Family Health
Where do you go most often when you are sick? (Choose only one please.) *
What is your primary health insurance plan? This is the plan which pays the medical bills first or pays most of the medical bills? *
In the past 12 months, did you have a problem getting the health care you needed for you personally or for a family member from any type of health care provider, dentist, pharmacy, or other facility? *
If you said “yes,” what type of provider or facility did you or your family member have trouble getting health care from? You can choose as many of these as you need to. *
Required
Which of these problems prevented you or your family member from getting the necessary health care? You can choose as many of these as you need to. *
Required
If a friend or family member needed counseling for a mental health or a drug/alcohol abuse problem, who is the first person you would tell them to talk to. *
Part 6. Emergency Preparedness
Does your household have working smoke and carbon monoxide detectors? *
Does your family have a basic emergency supply kit?(These kits include water, non-perishable food, any necessary prescriptions, first aid supplies, flashlight and batteries, non-electric can opener, blanket, etc.) *
How many days do you have supplies for? *
No emergency kit
7 days or more
What would be your main ways of getting information from authorities in a large-scale disaster or emergency? *
Required
If public authorities announced a mandatory evacuation from your neighborhood or community due to a large-scale disaster or emergency, would you evacuate? *
What would be the main reason you might not evacuate if asked to do so? *
Untitled Part 7. Demographic QuestionsTitle
The next set of questions are general questions about you, which will be reported as a summary of all answers given by survey participants.
How old are you? *
Are you male or female? *
Are you of Hispanic, Latino or Spanish origin? *
If yes, are you... *
What is your race? *
Do you speak a language other than English at home? *
If yes, what language
Your answer
What is your marital status? *
What is the highest level of school, college or vocational training that you have finished? *
What was your total household income last year, before taxes? *
How many people does this support? *
What is your employment status? *
Do you have access to the internet?
THE END
Thank you for completing this survey. The information provided will help the Norwood Health Department focus on the specific needs of the Norwood Community.
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