• LaSalle County Health Department Health Assessment Needs Survey 2026

    Your opinions are important! We are inviting you to participate in a survey about community health needs. This survey is designed to identify different aspects of heatlh care in the community, and other factors that may impact your health. All responses are anonymous and confidential.
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  • Background Information

  • Age
  • Which of the following best describes your gender identity?

  • Which of the following best describes your sexual orientation?

  • What is your race and/or ethnicity? (Please select all that apply)

  • What is your highest level of education?
  • Employment level

  • Marital status?
  • What was your household /total income last year, before taxes?
  • What is your housing status?
  • Do you have internet at home?
  • If you have internet access at home, what is the most common way you access?
  • If you don't have Internet, why not?

  • Access to Care

  • What type of health insurance do you have?
  • If you answered "Don't Have" to the above question, why don't you have insurance?
  • When you get sick, where do you go most often?
  • If you don't seek medical care, why not?
  • In the last YEAR, was there a time when you needed medical care but were not able to get it?
  • If you were not able to get medical care, why not? (Please select all that apply)
  • In the last YEAR, was there a time when you needed prescription medicine but were not able to get it?
  • If you were not able to get prescription medicine, why not? (Please select all that apply)
  • In the last YEAR, was there a time when you needed dental care but were not able to get it?
  • If you were not able to get dental care, why not? (Please select all that apply)
  • In the last YEAR, was there a time when you needed mental health counseling but were not able to get it?
  • If you were not able to get mental health counseling, why not? (Please select all that apply)

  • Quality of Life

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  • Community Strengths & Weaknesses

  • Which THREE factors do you think influence a community's health and improve the quality of life within the community?
  • Which THREE problems do you believe have the greatest impact on the community?
  • Which THREE behaviors do you believe have the greatest impact on the community?
  • What are the THREE (3) biggest HEALTH ISSUES in our community?
  • What are the THREE (3) most UNHEALTHY BEHAVIORS in our community?
  • What are the THREE (3) most important factors that would improve your WELL-BEING?
  • What are the THREE (3) biggest concerns with AGING ISSUES in your community?

  • Environmental Health

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  • What are the THREE (3) biggest concerns with ENVIRONMENTAL HAZARDS in your community?

  • Personal Health

    The following questions ask about your own health and health choices.
  • In a typical WEEK, how many times do you participate in exercise, (such as jogging, walking, weight-lifting, fitness class) that lasts for at least 30 minutes?
  • If you answered "none" to the question about exercise, why didn't you exercise in the past week? (Please select all that apply)
  • On a typical DAY, how many servings/separate portions of fruits and/or vegetables did you have? An example would be a banana, apple, orange.
  • If you answered "none" to the question about fruits and vegetables, why didn't you eat fruits and vegetables?(Please select all that apply)
  • Please check the box next to any health conditions you have.(Please select all that apply) If you don't have any health conditions, please check the first box and go on to the next question.
  • On a typical DAY, how many cigarettes do you smoke?
  • On a typical DAY, how many times do you use electronic vaping?
  • Do you have a personal physician/doctor?
  • What prevents you from getting the health care you feel you need? (Select all that apply.)

  • How many days a week do you or your family members go hungry?
  • In the last 30 DAYS, how many days have you felt depressed, down, hopeless?
  • In the last 30 DAYS, how often has your stress and/or anxiety stopped you from your normal daily activities?
  • In the last YEAR have you talked with anyone about your mental health?
  • How often do you use prescription pain medications not prescribed to you or use differently than how the doctor instructed on a typical DAY?
  • How many alcoholic drinks do you have on a typical DAY?
  • How often do you use marijuana on a typical DAY?
  • How often do you use substances such as inhalants, ecstasy, cocaine, meth, or heroin on a typical DAY?
  • Do you feel safe in your home?
  • Do you feel safe in your neighborhood?
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  • My overall physical health is?
  • My overall mental health is?

  • The Disease of Addiction

  • What is your relationship to the disease of addiction? (Select all that apply).
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