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Example Health Survey


This four-page survey created in Mendocino County is designed to gather information regarding community perceptions of local public health.  The survey also asks questions about personal experiences interfacing with the local public health system.  There are two downloads listed.  The first is a Microsoft Word document, the second is a PDF.

Primary Toolkit:

MAPP Related Toolkit

Keyword Area:

Communications/Messaging, Community Assessment, MAPP


Institutional Author:

Mendocino County Department of Public Health





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.