Language
  • English (US)
  • Spanish (Latin America)
  • Thank you for your interest in the

    Calaveras County Community Health Assessment

    This survey is now closed.

    We are in the process of condensing the responses of this survey into a report which we hope to share publicly by early 2024.

    The best way to stay up-to-date and learn of the resulting report is to follow us on Facebook.  You can also check out our website and program pages by clicking here.

    Thank you to everyone who contributed their thoughts to the Calaveras County Community Health Assessment.

     

  • Espanol?

    We are conducting a Community Health Assessment to better understand the health of the people who live in our county and the things that affect their well-being.

    Your participation in this survey will help shape the future of our county.

    • Learn more about this survey, why it's important, and the gift card raffle. 
    • 1. Why is this survey important?
      Your answers to the survey questions are important to understanding the health needs and concerns of our community.
      2. What are these questions about?
      These questions cover individual and community life, physical and mental health, and well-being. Many questions have an option to not answer and all of them are anonymous: your answers cannot be linked to you personally.
      3. How will this information be used?
      Your input will help us create health programs and services that meet the specific needs of our community. It will also be used for reports, applying for grants, and informing our community of realities that exist.
      4. Who can take this survey?
      This survey is open to all who live in Calaveras County aged 14 and over.
      5. How long will this survey take?
      This survey will only take about 15-20 minutes.
      6. Why is my participation in this survey anonymous?
      We care about your privacy and want you to feel safe sharing your thoughts and experiences. Your answers will be combined with others and presented in a way that does not reveal your identity.
      7. Is my participation in this survey voluntary?
      Yes, your participation in this survey is voluntary. It will not affect any services or benefits you receive.
      8. How do I enter the raffle for a gift card?
      After answering the required questions, you will have the option to enter the raffle for a chance to win 1 of 50 gift cards valued at $45 each.
      9. What if I have more questions?
      You can email Calaveras County Public Health at ccph@calaverascounty.gov or call 209-754-6460.
  • This survey is for those who live in Calaveras County. You may not continue with the survey, but thank you for your interest.

  • A standard drink is 12 ounces of beer, 8 ounces of malt liquor, 5 ounces of wine, or 1.5 ounces of distilled spirits.
  • Thank you, you're doing great. Continue?
  • Over the last 2 weeks, how often have you been bothered by the following 4 problems?

  • JotForm is stupid and doesn't allow Unique ID fields to be passed to other forms. So the work-around is to copy it to a Short Text field and then pass it. Hence, two:

  • Should be Empty: