Welcome to the Pendleton County Health Department

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We would like to know your opinion regarding health issues in Pendleton County. Please complete the form below to assist us in developing a plan to address these needs.

From the list below, please choose the areas that you feel are health concerns of Pendleton County.

	Alcohol Misuse		Lack of Public Recreational Facilities
	Cancer		Mental Illness
	Child Abuse		Obesity
	Cigerette Smoking & Tobacco Use		Physical Inactivity
	Cost of Medical Care		Poverty
	Domestic Violence		Road Conditions
	Drug Abuse		Teen Pregnancy
	Drunk Driving		Traffic Injuries
	Heart Disease		Unemployment
	Injuries (other than traffic)		Violence in the Community
	Lack of Adequate Health Care Facilities		Violence in Schools

Of the items you selected above, please rank the top five items that you feel are the major health concerns for Pendleton County residents.

Where do you go to receive health services that are non-emergency services? (Choose all that apply.)

	Emergency Room
	Health Department
	Nurse Practitioner
	Private Physician's Office
	Walk-in Clinic

Have you ever used the health department for any of the following services? (Choose all that apply)

	Birth Control
	Family Planning
	Home Health Services
	Medical Treatment/Services
	TB Test
	Vaccinations

Were you aware that your health department offers the above services?

Are you currently enrolled or have you ever been enrolled in any of the following services? (Choose all that apply)

	CHIP Program
	Financial Assistance
	Food Stamps
	HUD
	Medical Card
	WIC Programs

Please choose from the list below any items that you would like to see recieve more emphasis in the community that they do now. (Choose all that apply)

	Alcohol Misuse		Lack of Public Recreational Facilities
	Cancer		Mental Illness
	Child Abuse		Obesity
	Cigerette Smoking & Tobacco Use		Physical Inactivity
	Cost of Medical Care		Poverty
	Domestic Violence		Road Conditions
	Drug Abuse		Teen Pregnancy
	Drunk Driving		Traffic Injuries
	Heart Disease		Unemployment
	Injuries (other than traffic)		Violence in the Community
	Lack of Adequate Health Care Facilities		Violence in Schools