Go! Garrett County User Survey - #2 | Garrett County Surveys

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Survey

Zip Code*

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Would you say that in general your health is:*

Poor

Fair

Good

Very Good

Excellent

What would help you level up your nutrition game the most?*

A Buddy/ Accountability

Meal Planning

Meal Preparation

Nutrient-Rich Grab & Go Snacks

Healthier Menu Options at Local Restaurants

Cutting Back on High-Calorie Items (Soda, Chips, etc...)

Other (Please Specify)

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Choose one thing that would make it easier for you to increase your physical activity:*

A Buddy/ Accountability

Exercise Equipment

Accessible and Safe Trails

Group Classes

Individualized Personal Training

Virtual Options

Other (Please Specify)

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Are you aware of the following community resources? (Check all that apply.)*

Community Food Pantries and Meals

Local Trail Systems & Parks

Informal Community Groups: Walking, Biking, etc...

Community Classes: Yoga, Exercise, etc...

National Diabetes Prevention Program (Garrett Regional Medical Center)

Diabetes Self-Management Education - Glucose to Goal (Mountain Laurel Medical Center)

Behavioral Health Provider Guide

What barriers prevent you from experiencing greater wellbeing? (Check all that apply.)*

Financial Difficulties and/or Constraints

Anxiety and/or Depression

Disability and/or Mobility

Transportation

Stigma and Discrimination

Family Responsibilities

Lack of Social Connectedness

Relationship and/or Significant Other

Work Schedule

I Don’t Have Any Barriers to Overcome

My income range is:*

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

Age*

<18

18-24

25-34

35-44

45-54

55-64

65+

Thank you!

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