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2013 Community Health Needs Assessment Report - Terrebonne ...

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TGMC<br />

<strong>2013</strong> <strong>Community</strong> <strong>Health</strong> <strong>Needs</strong> <strong>Assessment</strong> <strong>Report</strong><br />

37<br />

27 Are any of your children considered overweight for their age?<br />

0=[DO NOT KNOW/REFUSED]<br />

1=yes<br />

2=no<br />

TOBACCO USE<br />

28 Have you smoked at least 100 cigarettes in your entire life, which would be about 5<br />

packs?<br />

0=[DO NOT KNOW/REFUSED] [SKIP TO Q32]<br />

1=yes 2=no [SKIP TO Q32]<br />

29 Have you smoked a cigarette within the last 30 days?<br />

0=[REFUSED] [SKIP TO Q32]<br />

1=yes 2=no [SKIP TO Q32]<br />

30 During the past 12 months, have you quit smoking for one day or longer?<br />

0=[DO NOT KNOW/REFUSED]<br />

1=yes<br />

2=no<br />

31 How likely would you be to participate in a program designed to help you stop<br />

smoking? [READ RESPONSES]<br />

5=definitely would<br />

2=not likely<br />

4=very likely<br />

1=definitely not<br />

3=somewhat likely<br />

0=[DO NOT KNOW/REFUSED]<br />

PARTICIPATION IN COMMUNITY OUTREACH PROGRAMS<br />

32 Do you know how to perform CPR?<br />

0=[DO NOT KNOW/REFUSED]<br />

1=yes<br />

2=no<br />

33 In the last 12 months, did you participate in any community health screenings?<br />

0=[DO NOT KNOW/REFUSED]<br />

1=yes<br />

2=no<br />

34 In the last 12 months, did you attend any community health education classes?<br />

0=[DO NOT KNOW/REFUSED]<br />

1=yes<br />

2=no<br />

35 Have you ever had a cardiac screening?<br />

0=[DO NOT KNOW/REFUSED]<br />

1=yes<br />

2=no

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