Health Department Services The Health Department would appreciate it if you could take a few minutes of your time to share your opinion on its programs/ services so that we can serve you better. Your feedback is critical for the Health Department to ensure that it is meeting your public health needs. 1. How old are you (years)? * 2. Do you identify as: * Male Female Other 3. Are you aware that the Clifton Health Department provides health services for the Township of Little Falls, including educational programs and health screenings? * Yes No 4. Have you ever participated in an educational program or health screening provided by the Clifton Health Department? * Yes No 4A. If you selected no, what is the main reason why you have not participated in an educational program or health screening provided by the Clifton Health Department? Unaware of services provided Not interested in topics Cost Undesirable location Inconvenient time Other 4B. If you selected "Other" in question 4A above, please tell us your reason for not participating 5. What is the ideal time to hold a health screening? * In the morning (between 9am and 12pm) In the afternoon (between 1pm and 4pm) In the evening (between 5pm-7pm) 6. What is the ideal time to hold an educational program? * In the morning (between 9am and 12pm) In the afternoon (between 1pm and 4pm) In the evening (between 5pm-7pm) 7. What is the ideal location to hold a health screening? * Little Falls Civic Center Little Falls Town Hall Little Falls Public Library Clifton Health Department (900 Clifton Ave. Clifton) Other 7A. If you selected "Other" in question 7 above, please tell us your preferred location 8. What is the ideal location to hold an educational program? * Little Falls Civic Center Little Falls Town Hall Little Falls Public Library Clifton Health Department (900 Clifton Ave. Clifton) Other 8A. If you selected "Other" in question 8 above, please tell us your preferred location 9. What health topics are you interested in learning about? * Alzheimer’s Disease Arthritis Asthma Cardiovascular (Heart) Disease Cancer Cholesterol Chronic Obstructive Pulmonary Disease (COPD) Diabetes Depression HIV/AIDS Hypertension Influenza Kidney Disease Mental Health Oral Health Smoking/Vaping Stroke Other 9A. If you selected "Other" in question 9 above, please your topics of interest 10. What health screenings would you attend if they were offered? * Balance Blood Glucose (Diabetes) Blood Pressure Cholesterol Eye Hearing Osteoporosis (Bone Health) Podiatry Posture Skin Cancer Other 10A. If you selected "Other" in question 10 above, please tell us what other kinds of screenings you would be interested in 11. What public health issues concern you most? 12. Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans like Medicare or Medicaid? * Yes No three
