Health Education Needs Survey
Help us understand your health education interests and preferences. Your responses are anonymous and will guide future programs.
Which of the following best describes your role?
*
Student
Teacher/Educator
Parent/Guardian
Community Member
Other
Which age group do you belong to?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
How interested are you in participating in health education programs?
*
Not interested
1
2
3
4
Very interested
5
1 is Not interested, 5 is Very interested
Which health topics are you most interested in? (Select all that apply)
*
Nutrition
Physical Activity
Mental Health
Chronic Disease Prevention
Substance Use Prevention
Sexual Health
Other
How do you prefer to receive health education?
*
In-person workshops
Online webinars
Printed materials
Mobile apps
Social media
Other
Please rate your confidence in understanding the following health topics.
*
Rows
Not confident at all
Somewhat confident
Very confident
Nutrition
1
2
3
Physical Activity
4
5
6
Mental Health
7
8
9
Chronic Disease Prevention
10
11
12
Substance Use Prevention
13
14
15
Sexual Health
16
17
18
What barriers, if any, prevent you from participating in health education programs? (Select all that apply)
Lack of time
Lack of interest
Not aware of available programs
Accessibility issues
Other
How likely are you to recommend health education programs to others?
*
Not likely
1
2
3
4
Extremely likely
5
1 is Not likely, 5 is Extremely likely
What is one thing you would like to learn more about in future health education programs?
Any additional comments or suggestions?
Submit Survey
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