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<br /> <br />Would you be willing to participate? YES NO <br />(If NO, stop the survey here and thank him/her for his/her time.) <br /> <br />ELIGIBILITY <br />Do you live in Orange County? YES NO <br />(If NO, stop the survey here and thank him/her for his/her time.) <br /> <br />I will now begin asking questions. If you realize that you have already participated in this survey <br />this year, let me know, and I can stop. <br /> <br />BEGIN SURVEY <br />Community Improvement <br />Read: These first set of questions will ask about community problems, issues, and services <br />that are important to you based on the topics selected for Healthy North Carolina 2020. In <br />these questions, and all the ones that follow, there is no right or wrong answer. We are <br />just interested in your honest opinion, based on what you have seen or experienced. <br />Remember your choices will not be linked to you in any way. <br /> <br />1. All topics are important; choose the one(s) most important to you (select all that <br />apply). <br />€ Tobacco Use <br />€ Physical Activity & Nutrition <br />€ Injury & Violence <br />€ Maternal & Infant Health <br />€ Sexually Transmitted Disease & <br />Unintended Pregnancy <br />€ Substance Abuse <br />€ Mental Health <br />€ Oral Health <br />€ Environmental Health <br />€ Infectious Disease & Foodborne Illness <br />€ Social Determinants of Health <br />(poverty, housing, homelessness, <br />graduation rates, unemployment, <br />uninsured) <br />€ Chronic Disease <br />€ Cross-Cutting (life expectancy, years <br />lost, single parent households) <br /> <br />2. If you had to pick one issue, from the previous list, which would it be? <br />€ 1- Tobacco Use <br />€ 2- Physical Activity & Nutrition <br />€ 3- Injury & Violence <br />€ 4- Maternal & Infant Health <br />€ 5- Sexually Transmitted Disease & <br />Unintended Pregnancy <br />€ 6- Substance Abuse <br />€ 7- Mental Health <br />€ 8- Oral Health <br />€ 9- Environmental Health <br />€ 10- Infectious Disease & Foodborne <br />Illness <br />€ 11- Social Determinants of Health <br />(poverty, housing, homelessness, <br />graduation rates, unemployment, <br />uninsured) <br />€ 12- Chronic Disease <br />€ 13- Cross-Cutting (life expectancy, <br />years lost, single parent households)