Climate Health Policy Survey Form
Help us understand how climate conditions impact health policy priorities and preparedness. Your input will inform future strategies and actions.
Which of the following best describes your role?
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Public health professional
Healthcare provider
Policy maker
Researcher/Academic
Community member
Other
Which climate-related health risks are most pressing in your area? (Select all that apply)
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Heatwaves
Air pollution
Vector-borne diseases
Water quality issues
Extreme weather events
Food security
Other
How prepared do you feel your community is to address climate-related health challenges?
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1
2
3
4
5
Please indicate your level of agreement with the following statements.
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Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Climate change significantly impacts public health.
1
2
3
4
5
Current policies adequately address climate-health risks.
6
7
8
9
10
More funding should be allocated to climate-health initiatives.
11
12
13
14
15
Preparedness efforts are sufficient in my area.
16
17
18
19
20
Which health policy areas should be prioritized in response to climate change? (Select up to 3)
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Emergency preparedness
Disease surveillance
Public education and outreach
Infrastructure resilience
Environmental monitoring
Healthcare access
Other
How would you rate the current level of collaboration between health and environmental agencies in your region?
1
2
3
4
5
What are the main barriers to improving climate-health preparedness in your area? (Select all that apply)
Lack of funding
Limited public awareness
Insufficient policy support
Data gaps
Coordination challenges
Other
Which sources do you rely on for information about climate and health?
Government agencies
Academic publications
Community organizations
Media outlets
Social media
Other
Please share any additional comments or suggestions regarding climate and health policy.
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