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  • Community Health Assessment Survey

    Community Health Assessment Survey

    We need YOUR input!

  • The Rockland County Department of Health (RCDOH) is in the process of developing our 2025-2030 Community Health Assessment (CHA) and Community Health Improvement Plan (CHIP). The CHA uses public health data, community surveys, and community stakeholder input to identify the health needs and issues of the county. The CHIP is our long-term effort to address the needs and issues identified in the CHA. Community agencies will use these to address the public health concerns in the county. The results of this survey will be published in the upcoming CHA. For more information, please visit our website.

    By completing this survey, you can help us identify the issues most important to you and your community. The survey should take about 10-15 minutes to complete. It is completely anonymous, and answers cannot be traced back to you. Any questions about this survey can be directed to RCDOHHealthAssessment@co.rockland.ny.us.

    Para cambiar el idioma, por favor utilice las selecciones desplegables en la esquina superior derecha.

    Pou chanje lang lan, tanpri itilize seleksyon dewoulant ki anlè adwat paj la.

  • Do you live in Rockland County? (Must live in Rockland to participate)*

  • Thank you for your interest! Unfortunately based on your answers you are not eligible to participate in this survey. This survey is open to Rockland County residents 18 and older.

  • What is your age? (Must be at least 18 to participate)*

  • Thank you for your interest! Unfortunately based on your answers you are not eligible to participate in this survey. This survey is open to Rockland County residents 18 and older.

  • What is your sex?*
  • Which race/nationality do you identify with? Please select all that apply.*
  • What is your approximate household income?*
  • How many people live in your home, including yourself?*
  • Do you have health insurance?*
  • What kind of health insurance do you have?*
  • How would you rate your quality of life in Rockland County?*
  • Please choose the top three factors that you believe make a positive contribution to healthy living in Rockland County.*

  • Thank you for your interest!

    Unfortunately based on your answers, you are not eligible to participate in this survey. This survey is open to Rockland County residents 18 and older.

  • Priorities for Community Health and Wellbeing

  • Select your top 3 areas that you believe need improvement in Rockland County.*

  • Economic Priorities

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  • Mental Wellbeing and Substance Use

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  • Safe and Healthy Communities

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  • Healthcare Access and Quality

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  • Healthy Children

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  • Education

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  • Food and Housing Accessibility

  • Over the past year, there were times when I or someone in my household was hungry and couldn't get access to enough food.*
  • What has prevented you or someone in your household from getting enough food? (Select all that apply)*
  • Do you use any of the following resources? (Select all that apply)*
  • How would you rate the physical condition of your home?
  • In the past five years, have you had a problem (that you found difficult/impossible to resolve) with any of the following in your home? (Select all that apply)*
  • Has your home ever been tested for the presence of Lead or Lead-based Paint
  • What is your primary source of drinking water?
  • Are you concerned about the quality of your drinking water?*
  • What are your specific water quality concerns?
  • What is your primary form of transportation?*
  • Do you have access to public transportation when and where you need it?*

  • Health and Wellbeing

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  • The CDC recommends that adults engage in at least 150 minutes of moderate-intensity physical activity/exercise per week. Do you participate in at least 150 minutes of physical activity/exercise per week?*
  • Which, if any, of the following would help you become more active? Select all that apply.

  • Children's Health

  • Do you have a child younger than 6 years old living in your household?*
  • Has your child been screened for lead poisoning by a pediatrician?
  • Have you wanted to get a vaccine for your child but experienced difficulties accessing vaccines?*
  • What barriers have you faced accessing vaccines?*
  • Do you believe the childhood vaccines recommended by health authorities (e.g., CDC, WHO) are necessary and safe?
  • Are your children up to date on their recommended vaccines?
  • Have you ever chosen to skip or delay a vaccine recommended for your child?
  • Select the reason(s) why you chose to skip or delay.
  • What, if any, could increase your confidence in childhood vaccines?

  • Women's Health

  • Are you pregnant or planning to become pregnant?*
  • Do you have access to adequate prenatal care?
  • What is limiting your access to adequate prenatal care?
  • Do you have access to lactation (breastfeeding) services?
  • Do you have consistent access to menstrual products (tampons, pads, menstrual cups)?

  • Tobacco and Substance Use

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  • Do you know what Narcan® (Naloxone) is?

  • Narcan® (Naloxone) is a lifesaving medication used for the treatment of a known or suspected opioid overdose emergency. It can reverse an opioid overdose and quickly restore normal breathing. For more information, please visit the NYS OASAS website.

  • What is your experience with Narcan® (Naloxone)
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