Newton County groups are conducting a needs assessment to determine the specific health needs of Newton's youth and adults. To help us plan for the most needed health care services and provide the best access to these services, we ask that you take a few minutes to answer the following survey questions.
The survey is being funded through a grant from Emory University's Urban Health Program. It is being organized by the Newton Partnership, the grant recipient, and its partners including the Newton County School System, Hands On Newton, Oxford at Emory University and others.
YOUR ANSWERS WILL BE CONFIDENTIAL. Any questions regarding the part of the county one lives in or other personal data will not be used to identify anyone. It will merely be tabulated and used to create an overall picture of pockets of health concerns and health trends in the community.
Thank you for your time and thoughtful responses. Your views will make a difference in our community.
1. Are you a Newton County resident? *This question is required
3. Your gender *This question is required
4. Your ethnicity *This question is required
5. Your age *This question is required
6. Your education background *This question is required
7. Your type of employment *This question is required
8. Where do you get most of your health-related information? (Check all that apply.) *This question is required
9. Your number of years living at your present address *This question is required
10. Do you or any adults in your household have a chronic health condition (such as diabetes, heart disease, asthma, depression, anxiety, bipolar condition, obesity cancer, etc.)? *This question is required
12. Thinking about your mental health, which includes stress, depression, and problems with emotions,
for how many days during the past 30 days was your mental health not good? *This question is required
13. How do you currently pay for health services for yourself? *This question is required
14. If you have health insurance, please say how well you think it covers your medical expenses (do not include expenses for dental or eye care). *This question is required
15. If you face challenges when trying to get health care services for YOURSELF OR ANOTHER ADULT, please pick the THREE (3) biggest problems you face when trying to get health care services. (Check only 3). *This question is required
16. Do you currently have any medical debt? (Medical debt refers to unpaid medical bills related to doctor visits, dental checkups, eyeglasses, Emergency room visits, hospital visits, prescription drugs, medical procedures, outpatient visits, or any other out-of-pocket costs related to health care for you or a member of your family)? *This question is required
17. If you answered 'yes', how has medical debt affected your ability to receive needed health care services? (Check all that apply.) *This question is required
18. Which health care services do you wish were more available in your neighborhood? (Check all that apply). *This question is required
19. Please check what you think are the FIVE (5) most common health problems in your neighborhood. *This question is required
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20. Please check the FIVE (5) most unhealthy behaviors in your neighborhood. *This question is required
22. Do you have children ages infant-16 living in your home? *This question is required
If you have children living in your home presently, please answer the following questions:
23. When was the last time your child(ren) had a thorough physical exam?
24. In the last year, has your child had any of the following: headaches, sore throat, strep throat, cold/fever, often tired, ear aches, injuries or accidents, tooth aches or dental problems, stomach aches, skin problems or rashes, diarrhea or vomiting, or problems with eating or weight? *This question is required
25. Have you been told by a doctor that your child(ren) has any of the following chronic health problems like asthma, diabetes, allergies, attention deficit, hyperactivity, seizures or other? *This question is required
27. Where do you regularly take your child(ren) for health care?
28. How do you currently pay for health services for your child/children? *This question is required
29. Have you had any problems getting health care, mental health care or dental care for your child(ren)?
30. If you face challenges in getting health care services for your CHILD, what are the reasons? (Mark all that apply.) *This question is required
31. Does your child(ren) get depressed or stressed out? *This question is required
32. Do you have someone you could go to for counseling services for behavioral problems such as unusual or extreme fears, depression, nervousness?
33. Do you have a regular source of dental care for your child(ren)? *This question is required
34. Please check what you think are the FIVE (5) most common health problems AMONG CHILDREN in your neighborhood. *This question is required
35. If we opened a school-based health center to provide health care to all children, how likely would you be to give permission for your child to use the services? *This question is required
36. Would you be willing to sign a petition stating that you support school-based health centers for Newton's youth? *This question is required
