Community Health Funding Survey
Help us assess and improve funding for community health initiatives by sharing your perspectives and priorities.
Your Full Name
First Name
Last Name
Your Email Address
example@example.com
What is your role in the community?
*
Please Select
Community Member
Healthcare Professional
Local Government Official
Nonprofit Organization Representative
Educator
Other
Which age group do you belong to?
*
Under 18
18-29
30-44
45-59
60+
Prefer not to say
How would you rate the current level of funding for community health programs in your area?
*
1
2
3
4
5
Please indicate how strongly you agree or disagree with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Current funding meets the community's health needs.
1
2
3
4
5
There is transparency in how health funding is allocated.
6
7
8
9
10
More funding should be allocated to preventive health services.
11
12
13
14
15
Community input is considered in funding decisions.
16
17
18
19
20
Which areas do you believe should be prioritized for community health funding? (Select all that apply)
*
Mental Health Services
Chronic Disease Management
Preventive Care & Screenings
Health Education & Outreach
Maternal & Child Health
Substance Abuse Programs
Other
Please rank the following funding priorities in order of importance to you:
How satisfied are you with the process by which community health funding decisions are made?
*
Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
What challenges do you see in securing adequate funding for community health initiatives?
Do you have any suggestions for improving community health funding or its allocation?
Submit Survey
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