Erie County Health and Wellness Survey

The vision of the Erie County, NY Department of Health (ECDOH) Office of Health Equity (OHE) is for all populations in Erie County, NY to achieve maximum health and wellness. Existing data shows that people in different communities, within Erie County, NY have different health experiences. 

If you are an Erie County, NY resident, please complete this survey to help us understand the challenges to being healthy where you live. Some questions may be sensitive, however, answering these questions will give us information on what unique challenges may exist in the community. With this understanding, we hope to support effective solutions.

Questions with a * are required questions. You must answer these questions before you can submit your responses.  Thank you for your participation. 

After you submit this survey, you will be directed to a page to enter a raffle for $100 Target Gift Card.  If you are interested, please complete and submit that contact form.  Your contact information for this raffle will NOT be linked to your survey responses. Therefore, your survey responses will remain confidential.

What is your Hispanic-Latino countries of origin? (select all that apply)
What is your race? (select all that apply)
What is your Asian country of origin? (select all that apply)
What is your current gender?
What is your current sexual orientation?
Do you wish to share why you are not employed?
What type of disability do you have? (select all that apply)
Which describes your housing situation?
Which of the following are true about childcare? (select all that apply)
Which of the following are true about adult care? (select all that apply)
Which of the following best describes your food situation? (select all that apply)
Which of the following about your diet is true? (select all that apply)
Which of the following about exercise is true? (select all that apply)
Which of the following best describes your hopes for your financial situation? (select all that apply)
How do you get around? (select all that apply)
What are the challenges to accessing transportation? (select all that apply)
Lack of transportation has been a barrier to? (select all that apply)
Do you experience any of the following health conditions? (select all that apply)
Do you care to tell us what kind of substance? (select all that apply)
Do you wish to share why you started using this substance? (select all that apply)
In relation to this substance use, what resources may support your health and safety? (select all that apply)
Which of the following are challenges to accessing healthcare for yourself or your family? (select all that apply)

Thank you, for your willingness to participate in our survey. However, the scope of this survey only includes Erie County residents.