Toggle navigation Cook Children's 2027 CHNA Community Leader Survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Questionaire idbkp 75 75 IPGL Location data from IP: IP address Country Region City Latitude Longitude Postal code Time zone Q1 Please choose ONE county from the list below for which you are most familiar with issues related to children’s healthcare and access to care. Choose one of the following answers Collin Johnson Denton Parker Grayson Tarrant Hood Wise No answer Q2 Please list up to THREE zip codes in this county where your organization serves or impacts the most children. Zip where you serve/impact the most children: 2nd: 3rd: Q3 Which of the following best describes your role in the county you selected in Question 1? Select all that apply Business Educator/School Official Government Employee/Public Health Medical/Dental/Mental Health Professional Elected Official Social Services/Non-profit Professional Clergy/Religious/Faith-based Community Volunteer Other Q3x9 Please define "Other." Q4 In general, how would you describe the health status of children in the county you selected in Question 1? Choose one of the following answers Excellent Very Good Good Fair Poor No answer Q5 Please rate how easy or difficult it is to access these health services for the children in the county you selected in Question 1. If you do not know enough about the issue to have an opinion, select "Don't Know". Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 1. Preventive health care Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 2. Treatment for short-term illnesses (cold or flu) Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 3. Treatment for long-term illnesses (asthma or diabetes) Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 4. Immunizations and vaccines Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 5. Preventive dental care Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 6. Treatment for dental problems Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 7. Mental health care or counseling for behavioral/emotional concerns Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 8. Wellness opportunities (fitness or nutrition) Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 9. Child abuse and neglect prevention services Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer 10. Information about children’s health services that are available Very Easy Easy Neutral Difficult Very Difficult Don't Know No answer Previous Next Resume later Please confirm you want to clear your response? Exit and clear survey Resume later Exit and clear survey