Community Health Needs Assessment Form Add Your Voice to the Project! The goal of the Community Health Needs Assessment project is to help identify the greatest health needs in the Self Regional Healthcare seven-county service area. Key Areas*Which of the following key areas of community health are most important to you? * Access to health services Screenings and immunizations Environmental quality Maternal and infant child health Mental health Injury and violence Nutrition, physical activity and obesity Substance abuse Tobacco use Oral health Reproduction and sexual health Social determinants In Your Own Words.Please share your thoughts with us based on your selections above. Consider what you feel to be some of the community's major health concerns, or what factors keep the community from being healthier.Where do you live?* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code NameOPTIONAL: please provide a name if you'd like to be available for followup questions and discussion. Contact InfoOPTIONAL: provide an email address or telephone number if you'd like to be available for followup questions and discussion.