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Stickney Public Health District Community Health/Needs Assessment Survey 2026
The purpose of this survey is to get your opinions about health in Stickney Township. The survey should take about 8 minutes. Selecciona español en la esquina superior derecha. Wybierz polski w prawym górnym rogu. اختر العربية في الزاوية العليا اليمنى Please answer as many questions as you can. You can skip any questions you'd like to. There are only 2 required questions (if you live/work in Stickney Township). The Stickney Public Health District Community Health Planning Committee will use the results of this survey and other information to identify the most important health problems to address.
How healthy is the community you live in?
Very Healthy
Healthy
Somewhat Healthy
Unhealthy
Very Unhealty
In your opinion, what are the three (3) most important health issues in YOUR COMMUNITY/STICKNEY TOWNSHIP. These are problems you think have the highest impact on the health of our community.
Aging issues, such as Alzheimer's disease, hearing loss, memory loss, or arthritis
Alcohol Use/Abuse
Cancer
Diabetes
Child Abuse/Neglect
Dental Problems
Domestic Violence
Drug or Other Substance Use
Early Sexual Activity
Firearm (gun) Injuries/Violence
Heart Disease/Heart Attack
High Blood Pressure
HIV/AIDS
Homelessness/Individuals not having a stable place to live
Hunger/Not Having Enough Food
Infectious/Contagious Disease, such as Flu, Pneumonia, Food Poisoning, COVID-19
Injuries
Lung Disease (Asthma/COPD)
Mental Health Issues (such as Depression, Anxiety, Anger, Hopelessness)
Money-Not Enough Money to Pay for Healthy Practices or Health Care
Obesity/Overweight
Sexually Transmitted Infections (such as Chlamydia, Gonorrhea, Syphilis)
Smoking/Vaping
Stroke
Suicide
Teenage Pregnancy
Transportation (to access healthcare, pharmacy...)
Trust-Low Trust In Healthcare Providers, City/Government Health Agencies
Other
What are the three (3) most important things that impact YOUR/YOUR FAMILY'S well-being in our community?
Aging issues, such as Alzheimer's disease, hearing loss, memory loss, or arthritis
Alcohol Use/Abuse
Cancer
Diabetes
Child Abuse/Neglect
Dental Problems
Domestic Violence
Drug or Other Substance Use
Early Sexual Activity
Firearm (gun) Injuries/Violence
Heart Disease/Heart Attack
High Blood Pressure
HIV/AIDS
Homeless/Not having a stable place to live
Hunger/Not Having Enough Food
Infectious/Contagious Disease, such as Flu, Pneumonia, Food Poisoning, COVID-19
Injuries
Lung Disease (Asthma/COPD)
Mental Health Issues (such as Depression, Anxiety, Anger, Hopelessness)
Money-Not Enough Money to Pay for Healthy Practices or Health Care
Obesity/Overweight
Sexually Transmitted Infections (such as Chlamydia, Gonorrhea, Syphilis)
Smoking/Vaping
Stroke
Suicide
Teenage Pregnancy
Transportation (to access healthcare, pharmacy...)
Trust-Low Trust In Healthcare Providers, City/Government Health Agencies
Other
Overall, my physical health is:
Excellent
Very Good
Good
Fair
Poor
Overall, my mental/emotional/behavioral health is:
Excellent
Very Good
Good
Fair
Poor
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The following questions ask about how you access/use health care services. Remember, this survey will NOT be linked to you in any way.
What type of (if any) health insurance do you have?
Medicare
Medicaid
Insurance provided by employer or by another person's employer
I do not have health insurance
Alaska Native, Indian Health Service, or Tribal Health Services
VA/Military
Insurance I bought on my own
Other
When you need to see a doctor/healthcare provider, where do you go most often?
Clinic/Healthcare Provider's Office
Urgent/Immediate Care Center
Emergency Department
Veterans' Affairs (VA) Site
Health Department (example: Stickney Public Health District Clinics)
I do not seek medical attention
Other
How long has it been since you have been to the doctor/healthcare provider to get a checkup when you were well (not because you were already sick)?
Within the last year
1-2 years ago
3-5 years ago
More than 5 years ago
I have never been to a doctor/provider for a check up
Other
Do you have at least one person you think of as your primary health care provider/personal doctor?
Yes
No
Not Sure
In the last year, was there a time when you needed medical care but were not able to get it?
Yes
No
If you answered "yes" to the last question, why weren't you able to get medical care?
I didn't have health insurance
I couldn't afford to pay for care or for my co-pay or deductible
I didn't have a way to get to the doctor
The doctor/clinic did not take my insurance or Medicaid
I didn't know how to find a doctor
Too long to wait for an appointment
Fear
Other
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How long has it been since you have been to the dentist to get a checkup or a cleaning when you were well (not for an emergency)?
6 months or less
More than 6 months but less than 1 year
More than 1 year but less than 2 years
More than 2 years ago
I have never been to a dentist/provider for a check up
Other
In the last year, was there a time when you needed dental care but were not able to get it?
Yes
No
If you answered "yes" to the last question, why weren't you able to get dental care?
I didn't have dental insurance
I couldn't afford to pay for care or for my co-pay or deductible
I didn't have a way to get to the dentist
I didn't know how to find a dentist
Too long to wait for an appointment
Fear
Other
In the last year, was there a time when you needed mental health care/counseling but were not able to get it?
Yes
No
If you answered "yes" to the last question, why weren't you able to get mental health care/counseling?
I didn't have insurance
I couldn't afford to pay for care or for my co-pay or deductible
I didn't have a way to get to the provider/counselor
The provider/counselor did not take my insurance or Medicaid
I didn't know how to find a provider/counselor
Too long to wait for an appointment
Fear
Embarrasment
Other
Do you know that Stickney Public Health District offers MEDICAL SERVICES (like doctor/PA/NP visits)?
Yes. I know all about these services.
Yes. I know a little bit about these services.
No. I didn't know these services were offered.
Do you know that Stickney Public Health District offers PSYCHIATRY/THERAPY/BEHAVIORAL HEALTH services?
Yes. I know all about these services.
Yes. I know a little bit about these services.
No. I didn't know these services were offered.
Do you know that Stickney Public Health District offers DENTAL HEALTH services?
Yes. I know all about these services.
Yes. I know a little bit about these services.
No. I didn't know these services were offered.
Do you know that Stickney Public Health District offers PODIATRY/FOOT HEALTH services?
Yes. I know all about these services.
Yes. I know a little bit about these services.
No. I didn't know these services were offered.
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The next questions ask about health actions you take/practice. Remember this survey will NOT be linked to you in any way.
In the last WEEK, how many minutes of deliberate exercise did you get (such as walking, jogging, golf, weight-lifting, fitness classes)?
None
Less than 15 minutes
16-45 minutes
46-75 minutes
76-90 minutes
91-125 minutes
126-149 minutes
150 minutes or more (2.5 hours or more)
On a typical day, how many servings of fruit do you have (examples: apples, oranges, grapes, berries...)?
None
1-2
3-4
4-5
More than 5
On a typical day, how many servings of vegetables do you have (examples: carrots, broccoli, lettuce, peppers...) ?
None
1-2
3-4
4-5
More than 5
How many hours of sleep do you get per night (on average)?
0-3 hours
4-5 hours
6-7 hours
8-9 hours
More than 9 hours
On a typical day, how many cigarettes do you smoke?
None
1-4
5-8
9-12
More than 12
How often do you use e-cigarettes or vaping products?
1-2 days per week
3-4 days per week
5-6 days per week
Every day
I do not use these
During the past 30 days, how many days did you have at least one drink of any alcoholic beverage*? *One drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor. A 40-ounce beer would count as 3 drinks, or a cocktail drink with 2 shots would count as 2 drinks.
During the past 30 days, on the days when you drank, about how many drinks did you drink on average?
During the past 30 days, on how many days did you use marijuana or cannabis?
0 Days
1-5 Days
6-10 Days
11-15 Days
16-20 Days
21-25 Days
26-30 Days
When you used marijuana or cannabis during the past 30 days, did you use it for:
Medical Reasons (to treat or manage symptoms or health conditions)
Non-Medical Reasons (socially or for fun)
Both Medical and Non-medical
Did not use marijuana or cannabis during the past 30 days
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When you have a question about health, who do you ask? If you use multiple sources, please select the three (3) you use most often.
Doctor/Physician/Healthcare Provider
Friends/Family
Pharmacy
Social Media
Official Health Organizations online (CDC, American Academy of Pediatrics, American Cancer Society)
Religious Organization/Church
Other
If you selected Social Media for the question above, please list the platforms you like using best (like Facebook, Instagram,TikTok):
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Please tell us a little bit more about you. Remember, this survey will NOT be linked to you in any way.
What Stickney Township area do you live in?
*
Burbank
Stickney
Central Stickney
Forest View
Nottingham Park
Bedford Park
Hawthorne Race Course
I do not live in Stickney Townshihp
If you selected, I do not live in Stickney Township, but you work in Stickney Township what area(s) do you work in?
*
Burbank
Stickney
Central Stickney
Forest View
Nottingham Park
Bedford Park
Hawthorne Race Course
I do not work in Stickney Township
How long have you lived or worked in Stickney Township?
Less than 1 year
More than 1 year but less than 5 years
More than 5 years but less than 10 years
At least 10 years but less than 20 years
More than 20 years
I do not live in or work in Stickney Township
What is your sex (assigned at birth)?
Female
Male
Intersex
Prefer not to say
What age range do you fall into?
Under 20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91 or older
What race or ethnicity best describes you?
American Indian or Alaskan Native
Asian (Indian, Japanese, Chinese, Korean, Vietnamese, Filipino)
Black/African American
Latino/a or Hispanic
Pacific Islander (Native Hawaiian, Samoan, Guamanian/Chamorro)
White/Caucasian
Multiple Races
Prefer not to say
Other
If you did not select Latino/a or Hispanic for the question above, are you of Latino/a or Hispanic origin?
Yes
No
What language(s) do you prefer for communication?
Arabic
Chinese (including Cantonese and Mandarin)
English
Polish
Russian
Spanish
Other
What is your highest level of education?
Less than high school graduation
High school graduate (Grade 12 or GED)
Some College or Technical School
Associate Degree
Bachelor's Degree
Graduate or Professional Degree
Other
What is your job status?
Full-time
Part-time
Unemployed
Armed Forces
Retired
Disabled or Unable to Work
Homemaker/At home parent/caregiver
Student
What is your annual household income from all sources (combined income from everyone living in the household including disability income)?
Less than $10,000
$10,001-$15,000
$15,001-$20,000
$20,001-$25,000
$25,001-$35,000
$35,001-$50,000
$50,001-$75,000
$75,001-$100,000
$100,001-$150,000
$150,001-$200,000
Over $200,000
Prefer not to say
How many people are in your household?
Is there anything else you would like to tell us about community concerns, health problems, or services in the community? Please share below.
Submit
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