Health Equity Survey
We’re collecting information to continue working toward a healthier tomorrow for Angelina County.
NOTE: This survey is intended for residents of Angelina County. If you do not live in Angelina County, please do not complete this survey. This information is important and to help us gather accurate information, please complete this survey only one time.
Tell us about Your Community
Yes
No
Age-related illness (arthritis, hearing/vision loss, Alzheimer’s/dementia, etc.)
Cancer
Child abuse
Dental problems
Diabetes
Heart disease
Stroke
Violence
Infectious disease (hepatitis, TB, flu, etc.)
Lung disease (asthma, COPD, etc.)
Mental health (depression, anxiety, PTSD, suicide)
Mother and infant health
Motor vehicle crash injuries
Obesity
Sexually transmitted infections (STIs/STDs/HIV)
Access to testing for COVID-19
Substance misuse (alcohol, prescriptions and other drugs)
Other
Optional comment
Access to community services
Access to health care and mental health care
Access to healthy food
Access to transportation
Affordable childcare
Affordable housing
Arts and cultural events
Diversity and inclusion
Access to the COVID vaccine
Parks and recreation
Quality job opportunities
Religion or spirituality
Safety and low crime
Strong community social networks
Strong family life
Good schools
Tell Us About Yourself
17 or under
18-24
25-34
35-44
45-54
55-64
65-74
75-84
85 or older
Female
Male
Non-Binary, Genderqueer
Gender Neutral
Transwoman
Transman
Other
Straight
Gay or Lesbian
Bisexual
Prefer not to answer
Other
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
Other
Some or no high school
High school graduate or GED
Vocational or technical school
Some college
College graduate or higher
Yes, aged 0-4
Yes, aged 5-12
Yes, aged 13-17
No children in my household
Yes
No
Less than $10,000
$10,000 to $19,999
$20,000 to $39,999
$40,000 to $59,999
$60,000 to $79,999
$80,000 to $99,999
Over $100,000
Thank you for your input!
*Race and ethnicity categories reflect definitions used in Census and health care data sets and are not an attempt to define race and ethnicity biologically, anthropologically, or genetically. We recognize that the race and ethnicity categories include racial, ethnic, and national origins and sociocultural groups.
© 2022 Angelina County & Cities Health District