Orange County NC Website
❑ Good ❑ Prefer not to say <br /> 24. Have you ever been told by a doctor, nurse,or other health professional that you have any of <br /> the following health conditions? (DK=Don't know/not sure;P=Prefer not to say) <br /> a. Asthma ❑ Yes ❑ No ❑ DK ❑ P <br /> b. Depression, anxiety or ❑ Yes ❑ No ❑ DK ❑ P <br /> other mental health <br /> concern <br /> c. High Blood Pressure ❑ Yes ❑ No ❑ DK ❑ P <br /> d. High Cholesterol ❑ Yes ❑ No ❑ DK ❑ P <br /> e. Diabetes (not during ❑ Yes ❑ No ❑ DK ❑ P <br /> pregnancy or Type 1) <br /> f. Osteoporosis ❑ Yes ❑ No ❑ DK ❑ P <br /> g. Overweight/obesity ❑ Yes ❑ No ❑ DK ❑ P <br /> h. Heart Disease ❑ Yes ❑ No ❑ DK ❑ P <br /> i. Cancer ❑ Yes ❑ No ❑ DK ❑ P <br /> 25. How do you identify? (Choose all that apply) <br /> ❑ Male ❑ Prefer to self-describe: <br /> ❑ Female <br /> ❑ Transgender ❑ Prefer not to say <br /> ❑ Gender Queer, Gender Non- <br /> Conforming, Non-Binary,Third <br /> Gender <br /> 26.When it comes to Cancer screenings, have you ever had a.....(DK=Don't know/not sure; P= <br /> Prefer not to say, NA= Not applicable/does not apply) <br /> Mammogram(Female)?—An x- ❑ Yes ❑ No ❑ DK ❑ P ❑ NA <br /> ray taken only of the breast by a <br /> machine that presses against <br /> the breast. <br /> Prostate Exam—PSA or DIRE ❑ Yes ❑ No ❑ DK ❑ P ❑ NA <br /> (Male)?—The prostate-specific <br /> antigen (PSA)test and digital <br /> rectal exam (DRE) are tests used <br /> to check men for prostate <br /> cancer. <br /> Blood Stool Test ❑ Yes ❑ No ❑ DK ❑ P ❑ NA <br /> (Male/Female)?—A test that <br /> may use a special kit at home to <br /> determine whether the stool <br /> contains blood. <br /> 60 2019 COMMUNITY HEALTH ASSESSMENT <br />