Suggestions for Survey Questions

The Health Foundation of Greater Cincinnati conducts a number of regional surveys, including a survey about community health status and health of the Hispanic population. We are also piloting a survey that focuses on health policy issues in the state of Ohio. If you have a suggestion of a topic to include in one of our surveys, please fill out this form.

Our Director, Health Data Improvement Program, will review the suggestions and select topics to include. There is no guarantee that we will be able to use the suggested topics. We will concentrate on topics that can be benchmarked against national or state level data so that we can compare how our region is doing.

We ask for your e-mail and phone number in case we need to find out more information about the topic you want to include and to let you know the status of your request. We will not use this information for any other purpose.

Name:
E-mail:
Organization:
Phone:
What topic do you want to learn more about?
How will you use the information?
Please list any surveys that you know of that already get information on this topic: