Thank you for participating in the 2021 Community Health Needs Assessment of Lebanon County. We are asking for your help to better understand the priorities of our community. Completion of the survey is anonymous and should take less than 10 minutes.
Where do you go to find out about community resources in Lebanon County?
(Check all that apply)
Newspaper
Internet
Radio
TV
211
Church
Community boards (grocery store, library, etc...
Word of mouth
I don't know where to look
Other
Newspaper
Internet
Radio
TV
211
Church
Community boards (grocery store, library, etc...
Word of mouth
I don't know where to look
Other
Which newspaper do you read to find out about community resources in Lebanon County?
(Check all that apply)
Lebanon Daily News
LebTown
Merchandiser
La Voz
Q'Hubo
Lebanon Daily News
LebTown
Merchandiser
La Voz
Q'Hubo
Which internet site do you visit to find out about community resources in Lebanon County?
(Check all that apply)
Web search
Macaroni Kid
Facebook
Instagram
Tik Tok
Twitter
CUE
Other
Web search
Macaroni Kid
Facebook
Instagram
Tik Tok
Twitter
CUE
Other
Which radio channel do you listen to find out about community resources in Lebanon County?
(Check all that apply)
WiLBuR/ 1270 AM
WQIC/Froggy Valley 101
Q'Hubo
Camara 809
Other
WiLBuR/ 1270 AM
WQIC/Froggy Valley 101
Q'Hubo
Camara 809
Other
Rent
Own a home
Live with others in their home
Rent
Own a home
Live with others in their home
What type of dwelling do you rent?
Apartment
Home
Public housing
Assisted housing, such as senior care
Apartment
Home
Public housing
Assisted housing, such as senior care
Not interested in owning
More affordable than owning
Lack of affordable housing in the area
No money for a down payment
Can't afford the monthly payment
Can't afford/not interested in the upkeep of a home
Current housing market is not good
Poor credit
Not staying in the area
Other
Not interested in owning
More affordable than owning
Lack of affordable housing in the area
No money for a down payment
Can't afford the monthly payment
Can't afford/not interested in the upkeep of a home
Current housing market is not good
Poor credit
Not staying in the area
Other
Tell us the other reason why you rent
Do you have a mortgage for your home?
Yes
No
While living with others do you help pay their rent or mortgage?
Yes
No
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Does your home need...? (Check all that apply)
Repairs
Basic furniture or household goods
Disability access or modification
Heating and cooling repairs
Plumbing repairs (hot and cold water, flushable toilet, place to bathe)
Kitchen appliances (no stove, range, refrigerator or sink)
Other
None of the above
Repairs
Basic furniture or household goods
Disability access or modification
Heating and cooling repairs
Plumbing repairs (hot and cold water, flushable toilet, place to bathe)
Kitchen appliances (no stove, range, refrigerator or sink)
Other
None of the above
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
When thinking about where you live, do you need...
(Check all that apply)
Mortgage or rent assistance
Utility assistance
Help finding housing
More housing options
Clean and/or safe housing
Help with your landlord
A safer neighborhood
Less people sharing your home
Other
None of the above
Mortgage or rent assistance
Utility assistance
Help finding housing
More housing options
Clean and/or safe housing
Help with your landlord
A safer neighborhood
Less people sharing your home
Other
None of the above
What is your main form of transportation?
My car
Borrow friend/family car
Public transit
Rideshare (Uber/Lyft/taxi)
Carpool
Walk
Bike
I don't leave my home
My car
Borrow friend/family car
Public transit
Rideshare (Uber/Lyft/taxi)
Carpool
Walk
Bike
I don't leave my home
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Do you have any transportation needs? (Check all that apply)
Can't afford my own car/truck
Public transportation is too expensive
Vehicle registration/inspection
Cannot get driver's license
Gas is too expensive
Information about bus routes/services
Can't afford auto insurance
My vehicle needs auto repairs
Disability services
Medical transportation
Child safety seat(s)
Other
None of the above
Can't afford my own car/truck
Public transportation is too expensive
Vehicle registration/inspection
Cannot get driver's license
Gas is too expensive
Information about bus routes/services
Can't afford auto insurance
My vehicle needs auto repairs
Disability services
Medical transportation
Child safety seat(s)
Other
None of the above
Do you use public transit?
Yes
No
Why not? (Check all that apply)
Have reliable transportation, don't need it
Too scared
No money for bus/taxi
Public transportation schedule does not work for me
Language barrier
Need to travel with my children
I am disabled
Don't know how
Worried about cleanliness
Public transportation does not pick up or drop off where I need to go
Have reliable transportation, don't need it
Too scared
No money for bus/taxi
Public transportation schedule does not work for me
Language barrier
Need to travel with my children
I am disabled
Don't know how
Worried about cleanliness
Public transportation does not pick up or drop off where I need to go
Can you access the internet from your home?
Yes
No
Tell us why you don't have access to the internet?
Too expensive
Don't know how to use it
Use it at school or work
Don't need it
Don't want it
Not available
Don't want the children to use it
Other
Too expensive
Don't know how to use it
Use it at school or work
Don't need it
Don't want it
Not available
Don't want the children to use it
Other
What type of device(s) do you have in your home? (Check all that apply)
Cell phones
Computer/laptop
School-issued laptop/tablet
Tablet (iPad, kindle, android)
I'm not comfortable using devices
Cell phones
Computer/laptop
School-issued laptop/tablet
Tablet (iPad, kindle, android)
I'm not comfortable using devices
Do your devices support the needs of the people in your home?
Yes
No
We have to share devices
Our internet cannot support multiple devices
Other
We have to share devices
Our internet cannot support multiple devices
Other
Are you...? (Check all that apply)
Employed full-time (35 hours per week or more at one job)
Employed part-time
Employed at multiple jobs
Looking for work
Not looking for work
Retired
Disabled, unable to work
Employed full-time (35 hours per week or more at one job)
Employed part-time
Employed at multiple jobs
Looking for work
Not looking for work
Retired
Disabled, unable to work
Please list any additional training you would be interested in
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
When thinking about your work, do you have any of the following needs...? (Check all that apply)
Reliable transportation
Childcare
A job that works with my disability
High School Diploma/GED
Benefits or better benefits
Liveable wage
Work clothes
Health insurance
Mental wellbeing support
Adult dependent care
Other
None of the above
Reliable transportation
Childcare
A job that works with my disability
High School Diploma/GED
Benefits or better benefits
Liveable wage
Work clothes
Health insurance
Mental wellbeing support
Adult dependent care
Other
None of the above
Thinking about your household in the last 12 months, did you have...?
Enough food to eat
Sometimes not enough to eat
Often not enough to eat
Enough food to eat
Sometimes not enough to eat
Often not enough to eat
If you found yourself without enough food, would you know where to go?
Yes
No
Please list any additional skills you are interested in learning
When was the last time you saw your primary care doctor?
Within the past 6 months
Within the past year
Within the past two years
I don't see a doctor due to cost
I don't need to see a doctor
Within the past 6 months
Within the past year
Within the past two years
I don't see a doctor due to cost
I don't need to see a doctor
When you are sick, where do you go most often?
Doctor's Office
Health Center (Family First Health, Union Community Care)
Health Clinic (Lebanon Family Health, Lebanon Free Clinic, Volunteers in Medicine)
Urgent Care
Emergency Room
VA Medical Center or VA Outpatient Center
Other
I do not seek help when I'm sick
Doctor's Office
Health Center (Family First Health, Union Community Care)
Health Clinic (Lebanon Family Health, Lebanon Free Clinic, Volunteers in Medicine)
Urgent Care
Emergency Room
VA Medical Center or VA Outpatient Center
Other
I do not seek help when I'm sick
When was the last time you saw your dentist?
Within the past 6 months
Within the past year
Within the past two years
I don't see a dentist due to cost
I don't need to see a dentist
Within the past 6 months
Within the past year
Within the past two years
I don't see a dentist due to cost
I don't need to see a dentist
If you have children, do they have medical insurance?
Yes
No
Not applicable
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Does anything prevent you from getting medical/dental care? (check all that apply)
Cultural/religious beliefs
Don't know how to find doctors
Fear (not ready to face health problem)
Health services too far away
Poor insurance
Language barrier/do not speak my language
No appointments available
Not open when I can get there
Too long of a wait to get an appointment
Transportation problems
Unable to pay co-pays or deductibles
I am worried about getting COVID-19
I don't know
Other
None of the above/no barriers
Cultural/religious beliefs
Don't know how to find doctors
Fear (not ready to face health problem)
Health services too far away
Poor insurance
Language barrier/do not speak my language
No appointments available
Not open when I can get there
Too long of a wait to get an appointment
Transportation problems
Unable to pay co-pays or deductibles
I am worried about getting COVID-19
I don't know
Other
None of the above/no barriers
Do you struggle with your mental wellbeing?
Yes
No
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
If yes, have you experienced any of the following on an ongoing basis? (check all that apply)
Extremely worried or anxious
Aggressive behavior (verbal or physical/both)
Impulsive
Often sad or very emotional
Angry or very irritable
Hear voices or see things
Can't concentrate or focus
Seek ways to harm myself
Feel hopeless
Don't want to see or be around family and friends
Have big mood swings
Can't sleep or sleep all the time
Sometimes anxious
Sometimes depressed
Other
None of the above
Extremely worried or anxious
Aggressive behavior (verbal or physical/both)
Impulsive
Often sad or very emotional
Angry or very irritable
Hear voices or see things
Can't concentrate or focus
Seek ways to harm myself
Feel hopeless
Don't want to see or be around family and friends
Have big mood swings
Can't sleep or sleep all the time
Sometimes anxious
Sometimes depressed
Other
None of the above
Have you ever experienced a one-time event (ex: death of a family member, car accident, natural disaster, violent crime etc.) that left you feeling intense helplessness, fear, horror, or shame?
Yes
No
Have you ever experienced a prolonged situation (ex. abuse, neglect, etc.) that left you feeling intense helplessness, fear, horror, or shame?
Yes
No
Have you ever received help with your mental wellbeing?
Yes
No
Yes
No
Who did you contact? (Check all that apply)
Primary care doctor
Therapist, psychologist, psychiatrist
Counselor/social worker
Friends/family
Religious leader
Support group
Other
Primary care doctor
Therapist, psychologist, psychiatrist
Counselor/social worker
Friends/family
Religious leader
Support group
Other
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Does anything prevent you from seeking help for your mental wellbeing? (check all that apply)
Transportation
Can't get help with my schedule
Provider has no availability
Did not accept my insurance
I forgot the appointment
Cannot afford it
I chose not to go to the scheduled appointment
Doctor/case manager/therapist cancelled and never rescheduled
Afraid /too embarrassed
None of the above
Transportation
Can't get help with my schedule
Provider has no availability
Did not accept my insurance
I forgot the appointment
Cannot afford it
I chose not to go to the scheduled appointment
Doctor/case manager/therapist cancelled and never rescheduled
Afraid /too embarrassed
None of the above
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Do you or someone you live with currently receive any of the following? (check all that apply)
Public assistance (TANF, cash assistance, medical assistance)
Food assistance (SNAP, WIC, emergency food)
Rental, housing, utilities assistance
Adult services (mental health, intellectual disability, drug and alcohol, housing support)
Children's services (mental health, intellectual disability, early intervention, children and youth)
Other
None of the above
Public assistance (TANF, cash assistance, medical assistance)
Food assistance (SNAP, WIC, emergency food)
Rental, housing, utilities assistance
Adult services (mental health, intellectual disability, drug and alcohol, housing support)
Children's services (mental health, intellectual disability, early intervention, children and youth)
Other
None of the above
When thinking about community services, does any of the following apply to you? (check all that apply)
Don't know what services are available
Don't think I qualify for services
Don't know how or where to get services
Need child care so that I can use services
Afraid to seek services
Need transportation to get to services
Need services in another language
Services needed are not available
Don't have time/too busy
Can't get away from work/can't afford to take off
No telephone/computer access
Waitlists
No insurance
I've had a bad experience
I keep being referred elsewhere
Don't need/want services
Other
Don't know what services are available
Don't think I qualify for services
Don't know how or where to get services
Need child care so that I can use services
Afraid to seek services
Need transportation to get to services
Need services in another language
Services needed are not available
Don't have time/too busy
Can't get away from work/can't afford to take off
No telephone/computer access
Waitlists
No insurance
I've had a bad experience
I keep being referred elsewhere
Don't need/want services
Other
How do you describe yourself?
Male
Female
Transgender
Do not identify as female, male, or transgender
Prefer not to answer
Male
Female
Transgender
Do not identify as female, male, or transgender
Prefer not to answer
Do you consider yourself to be?
Bisexual
Gay or lesbian
Straight, that is not gay or lesbian
Other
Don't know
Prefer not to answer
Bisexual
Gay or lesbian
Straight, that is not gay or lesbian
Other
Don't know
Prefer not to answer
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
What best describes you? (Check all that apply)
White
Black-African American
Asian
Native Hawaiian or Pacific Islander
American Indian or Native Alaskan
Other
Don't know
White
Black-African American
Asian
Native Hawaiian or Pacific Islander
American Indian or Native Alaskan
Other
Don't know
What best describes your ethnicity?
Hispanic/Latino
Non-Hispanic/Latino
None of the above
Hispanic/Latino
Non-Hispanic/Latino
None of the above
What is your preferred language?
English
Spanish
Other
18-24
25-34
35-44
45-54
55-64
65+
18-24
25-34
35-44
45-54
55-64
65+
Including yourself, check a box if someone in your household is in these age categories. (Check a box for all the people in your household, you will be asked how many next)
0-6
7-18
19-64
65+
How many? (0-6 years old)
How many? (7-18 years old)
How many? (19-64 years old)
How many? (65+ years old)
What do you think is your annual household income from all sources?
Less than $15,000
$15,001 to $25,000
$25,001 to $50,000
$50,001 to $75,000
$75,001 to $100,000
More than $100,001
Less than $15,000
$15,001 to $25,000
$25,001 to $50,000
$50,001 to $75,000
$75,001 to $100,000
More than $100,001
Were you born in Lebanon County?
Yes
No
Why did you come to live here?
Job
Family
Quality of life
What is your municipality?
Annville Township
Bethel Township
City of Lebanon
Cleona Borough
Cornwall Borough
East Hanover Township
Heidelberg Township
Jackson Township
Jonestown Borough
Millcreek Township
Mt. Gretna Borough
Myerstown Borough
North Annville Township
North Cornwall Township
North Lebanon Township
North Londonderry Township
Palmyra Borough
Richland Borough
South Annville Township
South Lebanon Township
South Londonderry Township
Swatara Township
Union Township
West Cornwall Township
West Lebanon Township
Don't know
Annville Township
Bethel Township
City of Lebanon
Cleona Borough
Cornwall Borough
East Hanover Township
Heidelberg Township
Jackson Township
Jonestown Borough
Millcreek Township
Mt. Gretna Borough
Myerstown Borough
North Annville Township
North Cornwall Township
North Lebanon Township
North Londonderry Township
Palmyra Borough
Richland Borough
South Annville Township
South Lebanon Township
South Londonderry Township
Swatara Township
Union Township
West Cornwall Township
West Lebanon Township
Don't know
Thank you for completing this survey! If any of our questions make you feel uncomfortable, or you're having a mental health crisis, there are local services available: Lebanon County Crisis Intervention: (717) 274-3363 or Crisis Text Line: Text “PA” to 741741