MCAH Survey
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  • Spanish (Latin America)

  • Maternal-Child-Adolescent Health

    Priorities assessment survey

  • The purpose of this survey is to gather valuable insights from community members to help inform the planning and implementation of the Title V Maternal and Child Health (MCH) program in Calaveras County. Your input will assist in identifying the most pressing health needs and priorities for women, mothers, infants, children, adolescents, and children and youth with special health care needs (CYSHCN) in our community.

  • Women's and Maternal Health

    Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period.

  • A1) Which of the following do you consider the top priorities for improving women's and maternal health in Calaveras County? (Select top three.)*
  • A2) What do you consider to be the greatest strength or asset in women's and maternal health in Calaveras County? (Select top three.)*

  • Perinatal and Infant Health

    Perinatal and infant health is the health of women and babies before, during, and after birth.

  • B1) Which of the following do you consider the top priority for improving perinatal and infant health in Calaveras County? (Select top three.)*
  • B2) Which of the following do you consider the top priority for improving perinatal and infant health in Calaveras County? (Select top three.)*

  • Child Health

    Child health refers to the health and development of children, including physical, mental, behavioral, and emotional health.

  • C1) Which of the following do you consider the top priority for improving child health in Calaveras County? (Select top three.)*
  • C2) What do you consider to be the greatest strength or asset in child health in Calaveras County? (Select top three.)*

  • Adolescent Health

    Adolescent health refers to the changing transitions within physical, social, emotional, cognitive, and intellectual health of youth.

  • D1) Which of the following do you consider the top priority for improving adolescent health in Calaveras County? (Select top three.)*
  • D2) Which of the following do you consider the top priority for improving perinatal and infant health in Calaveras County? (Select top three.)*

  • Children and Youth with Special Health Care Needs (CYSHCN)

    CYSHCN include infants, children, and youth from birth to age 21 who have one or more chronic physical, developmental, behavioral, or emotional conditions, and require additional health and support services, beyond those needed by children generally, as a result of their condition(s).

  • E1) Which of the following do you consider the top priority for improving the health of CYSHCN in Calaveras County? (Select top three.)*
  • E2) What do you consider to be the greatest strength or asset in the health of CYSHCN in Calaveras County? (Select top three.)*

  • Finally, tell us about yourself 

    In order to ensure that we gain understanding about different demographic groups in our community, we would like to ask some demographic questions to properly classify your response. This section is optional.

  • Gender
  • Which of the following best describes you?
  • What is your race/ethnicity?
  • What is the highest level of education you have completed?
  • What is your current employment status?
  • What is your annual household income?
  • What is your marital status?
  • How long have you lived in Calaveras County?

  • We appreciate your time and honest feedback in completing this survey. By clicking "Submit" below, you are indicating that you have read and understood the purpose of this survey and agree to participate voluntarily. Your responses will be kept anonymous and used for developing internal and external reports, research, presentations, press releases, and outreach and promotional materials.

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