Question title

What is the 5-digit Zip Code where you live?
Please enter numbers only

Question title

What is the quality of life that you experience living in the Greater Teton community?
(Where 1 means Very Poor and 4 means Very Good)

1 - Very Poor
2 - Poor
3 - Good
4 - Very Good
Closed to responses

Question title

How would you rate the overall health of the community?
(Where 1 means Very Poor and 4 means Very Good)

1 - Very Poor
2 - Poor
3 - Good
4 - Very Good
Closed to responses

Question title

How would you rate your own personal health?
(Where 1 means Very Poor and 4 means Very Good)

1 - Very Poor
2 - Poor
3 - Good
4 - Very Good
Closed to responses

Question title

Please indicate how strongly you agree or disagree with each of the following statements.
(Where 1 means Strongly Disagree and 4 means Strongly Agree)

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Question title

What are the THREE MOST IMPORTANT THINGS NEEDED FOR A HEALTHY COMMUNITY?

Rank your choices from the list below by dragging your choices to the box at the top. The top item will be the first most important, the middle item the second most important, and the bottom is the third most important item.

Please select ONLY 3.

Closed to responses

Question title

What are the THREE MAIN RISK FACTORS you think need to be addressed in our community?

A risk factor is defined as something that increases a person's chance of developing a disease.

Rank your choices from the list below by dragging your choices to the box at the top. The top item will be the first risk factor, the middle item the second risk factor, and the bottom is the third risk factor.

Please select ONLY 3.

Closed to responses

Question title

In your opinion, what are our community's THREE MOST IMPORTANT HEALTH PROBLEMS?

Rank your choices from the list below by dragging your choices to the box at the top. The top item will be the first most important health problem, the middle item the second most important, and the bottom is the third most important health problem.

Please select ONLY 3.

Closed to responses

Question title

What is your age?

18 - 19
65 - 69
20 - 29
70 - 79
30 - 39
80 - 89
40 - 49
90 - 99
50 - 59
100 or older
60 - 64
Prefer not to answer
Closed to responses

Question title

What is your gender identity?

Cisgender Woman (cisgender is defined as identifying with the gender you were assigned at birth. For example, if you were female at birth and identify as a woman now you are a cisgender woman)
Cisgender Male (cisgender is defined as identifying with the gender you were assigned at birth. For example, if you were male at birth and identify as a male now you are a cisgender male)
Transgender Woman (transgender means the gender you identify with is different from the gender you were assigned at birth. A transgender woman was assigned male at birth but whose identifies as a woman.)
Transgender Male (transgender means the gender you identify with is different from the gender you were assigned at birth. A transgender male was assigned female at birth but who identifies as a man.)
Nonbinary/Genderqueer (nonbinary means that a person doesn't exclusively identify as a man or woman. Genderqueer means a person doesn't categorize themself as either a man or woman; that your gender doesn't fit into one category)
Two-Spirit (two-spirit is a person who identifies as having both a masculine and a feminine spirit. It is used by some Indigenous people to describe their sexual, gender, and/or spiritual identity.)
Other
Prefer not to answer
Closed to responses

Question title

Which of the following best represents how you think of yourself?
Select all that apply

The definitions below are to help provide background on the different categories of sexual orientation. Each person's definition for the different sexual orientation categories may be different from the ones used below.

Straight/heterosexual (heterosexual is a person who is physically or romantically attracted to individuals of the opposite sex)
Lesbian (lesbian is a woman who is physically or romantically attracted to another woman
Gay (gay is a person who is physically or romantically attracted to someone of the same sex. This term is usually used to refer to men only.)
Bisexual (bisexual is an individual who is physically or romantically attracted to both men and women, or more than one sex or gender.)
Asexual (asexual is a person who experiences little to no physical or romantic attraction to anyone.)
Pansexual (pansexual is a person who is physically or romantically attracted to people of all genders.)
Queer (queer is a person who doesn't fit neatly into identities, like male or female, gay or straight. Queer is a term used to express that sexuality and gender can be complicated, change over time, and might not fit neatly into a category.)
Other
Prefer not to answer
Closed to responses

Question title

What race/ ethnicity do you most identify with?

(Select all that apply)

Black/ African American
African
Native American/ Indigenous/ Alaska Native
Latina/ Latino/ Latine/ Latinx / Latin@ / Hispanic
Asian
Asian American
Pacific Islander/ Native Hawaiian
Middle Eastern/ North African
White/ European
Other
Prefer not to answer
Closed to responses

Question title

Were you born in the US (United States of America)?

Yes
No
Prefer not to answer
Closed to responses

Question title

Are you or have you ever served in the military?

Yes
No
Other
Prefer not to answer
Closed to responses

Question title

Do you have a disability?

A disability is defined by the ADA as, "someone who has a physical or mental impairment that substantially limits one or more major life activity."

Yes
No
Prefer not to answer
Closed to responses

Question title

What is your highest level of education?

Less than high school
High school diploma or GED
Technical degree
College degree
Master's degree or higher
Other
Prefer not to answer
Closed to responses

Question title

What is your annual household income?

less than $20,000
$90,000 - $99,000
$20,000 - $29,000
$100,000 - $124,000
$30,000 - $39,000
$125,000 - $149,000
$40,000 - $49,000
$150,000 - $174,000
$50,000 - $59,000
$175,000 - $199,000
$60,000 - $69,000
$200,000 or more
$70,000 - $79,000
Prefer not to answer
$80,000 - $89,000
Closed to responses

Question title

What is your current employment status?

Full-time employee
Part-time employee
Seasonal employee
I have more than one employer
Self employed or a contractor
Caregiver (provide care to children or dependents, and elderly family member, or a family member with a disability)
Retired
Unemployeed - currently looking for employment
Unemployed - not currently looking for employment
Other
Prefer not to answer
Closed to responses

Question title

How long have you lived in the Greater Teton Area?

0 - 5 years
6 - 10 years
11 - 15 years
16 years or longer
Prefer not to answer
Closed to responses

Question title

How long do you plan to stay in the Greater Teton Area?

Less than 6 months
3 - 5 years
6 months - 1 year
5 - 10 years
1 - 3 years
More than 10 years
Prefer not to answer
Closed to responses

Question title

What is your housing situation?
Please select all that apply

Homeowner
Rent
Seasonal housing
RV/ van/ vehicle/ park/ campground/ or other public space
Shelter or other emergency housing
I am currently unhoused
Other
Prefer not to answer
Closed to responses

Question title

How many people live in your household?

2
42%
3
16%
4
15%
1
15%
5
4%
Prefer not to answer
4%
6
2%
7
1%
10 or more
1%
8
0%
9
0%
Closed to responses | 1,394 Responses

Question title

How long is your commute to work?
(Your answer should be the total commute time for going to work and for getting home from work)

Less than 30 minutes
I don't commute, but work at home
1 hour
I don't work or I am retired
1 - 2 hours
Prefer not to answer
2 - 3 hours
Other
More than 3 hours
Closed to responses

 

Healthy Teton County (HTC) envisions a vibrant Greater Teton community where opportunities for excellent health are available to all.

Our Values
As a community we embrace the following values in pursuit of our vision: teamwork, leadership, and accessibility.

Teamwork

  • We believe that partnerships and collaboration are critical to our success
  • We share the workload and all take responsibility for improving the health of our community
  • We pledge our commitment to the Healthy Teton County vision
  • We work to ensure that connectivity and communication exist between all system partners

Leadership

  • We lead by example and act as role models within the community
  • We value researched-based strategies and follow best practices within our profession

Accessibility

  • We emphasize justice in our efforts to create an equitable health system
  • We apply fairness in our decision-making
  • We employ kindness as a guiding principle
  • We practice compassion with our clients, partners, and all community members

 

To send comments on the survey,

please email

healthytetoncounty@publicinput.com