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Have you ever heard of "The Way To Wellville"?

Where do you live?

Please check all that are true:

What is your age?

What is your gender?

What is your race / ethnicity?

What is your approximate annual household income?

In general, how good is your health?

Do you have any kind of health insurance coverage, including private insurance, Medicare, Medicaid or other government plans?

Do you have a primary care physician or other person you think of as your personal doctor?

Was there any time in the past 12 months that you needed to see a doctor but were unable to do so because of cost?

How would you rate your weight?

Generally, how many servings of fruit do you eat each day?

Generally, how many servings of vegetables do you eat each day?

Generally, how many times per week do you participate in physical activity for exercise (not including activities related to your regular job)?

I am confident that I can have a positive effect on my health

I have set some definite goals to improve my health

I am actively working to improve my health.

Do you usually get 8 hours of sleep?

Do you have a strong social network (friends or family who support you)?

I get important needs of mine met because I am a part of the Spartanburg community

Being a member of the Spartanburg community makes me feel good

I am proud of the Spartanburg community.

In the last year, have you:  (check all that apply)

On a scale of 1 to 5, what would you change about your neighborhood?

Do you have 1 or more children under the age 5 living in your household?

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