Arizona Rural Women's Health Network Public Development Survey (2016)
The Arizona Rural Women's Health Network (AzRWHN) promotes and cultivates innovative policies, practices, and services to improve the health of women in rural Arizona. We are requesting your assistance and input to identify and prioritize the health issues/topics impacting women living in our rural communities. The information you provide here will help guide the future of the Network. In addition, the results of the survey are expected to help the Network identify and reach out to other partners in rural Arizona. Thank you in advance for sharing your views, experience and expertise with the AzRWHN!

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1. Gender:
Your answer
2. Age:
Your answer
3. Are you currently pregnant?
4. What zip code do you live in?
Your answer
5. Which type(s) of organization(s) do you typically receive health services, resources, and information from?
Check all that apply.
7. As a Network, to whom should we be reaching out/working with (local groups or organizations) to address the health needs of women living in Arizona's rural communities?
Your answer
8. What resources (advocacy, policy development, informational/educational materials, training, continuing education, etc.) can we provide to state and local organizations to help them address the health needs of women living in Arizona's rural communities?
Your answer
9. Priority needs for women living in rural communities
Please rank the top 5 priority needs from 1-5 (1 being the most important) for yourself and other women living in your community. Please rank only the top 5, using each column only once. If a need is not listed, you will have the opportunity to enter it at the end of the survey.
1 (most important)
5 (least important)
Access to health care services
Access to health insurance
Acute/infectious diseases
Anemia/iron deficiency
Autism screening
Birth defects
Cancer screenings (such as: breast, cervical, colon)
Child abuse and neglect
Child care
Chronic diseases and conditions (such as: diabetes, high blood pressure, high cholesterol)
Dating violence/domestic violence
Environmental hazards (such as: pollution, mold)
Family planning
Folic acid
Genetic counseling
Health before and between pregnancies
Health disparities (avoidable health inequalities between or within specific population groups)
Injury prevention
Inter-conception health (birth spacing)
Lead poisoning
Linkage to community resources
Low birth weight (LBW) births
Male/father parental involvement
Maternal mental health screening, assessment, and treatment
Pregnancy or childbirth related death
Medical complications during pregnancy
Newborn screening
Nutrition and physical activity
Oral health
Prematurity (preterm births)
Prenatal care
Prescription misuse during pregnancy
Primary preventive health care (well woman visits)
School enrollment for teen mothers
Sexual violence
STD and HIV screenings
Substance use (including during pregnancy)
Tobacco use during pregnancy
Unintended and unplanned pregnancies
Unsafe neighborhood
Very low birth weight (VLBW) babies born at facilities for high risk deliveries
Weight gain during pregnancy
10. Are there any issues or topics that were not covered by this survey that you feel are important for the Network to address?
Your answer
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