Understanding your needs and challenges faced will enable us to better collaborate as we work together to create healthier communities in North Carolina. Please complete the questions below so we can be the best partner possible. Thank you for your input and suggestions. Name: Title: Organization: Organization's Address: Organization Sector/Industry: Health Care Service Provider Community Based Organization Faith-Based Organization Local Government Official Local Public Health Staff Advocate Member of the Public Member of the Media Public Service Recipient Other Email Address: Phone Number: County: (Select All that Apply) STATEWIDE Alamance  Alexander  Alleghany  Anson  Ashe  Avery  Beaufort  Bertie Bladen  Brunswick  Buncombe  Burke  Cabarrus  Caldwell  Camden  Carteret  Caswell  Catawba  Chatham  Cherokee  Chowan  Clay  Cleveland  Columbus  Craven  Cumberland Currituck  Dare  Davidson  Davie  Duplin  Durham  Edgecombe  Forsyth  Franklin  Gaston  Gates  Graham  Granville  Greene Guilford  Halifax  Harnett  Haywood  Henderson  Hertford  Hoke  Hyde  Iredell  Jackson  Johnston  Jones  Lee  Lenoir  Lincoln  Macon  Madison  Martin  McDowell  Mecklenburg  Mitchell  Montgomery  Moore  Nash  New Hanover  Northampton  Onslow  Orange  Pamlico  Pasquotank  Pender  Perquimans  Person  Pitt  Polk  Randolph  Richmond  Robeson  Rockingham  Rowan  Rutherford  Sampson  Scotland  Stanly  Stokes  Surry  Swain  Transylvania  Tyrrell  Union  Vance  Wake  Warren  Washington  Watauga  Wayne  Wilkes  Wilson  Yadkin  Yancey    *Hold down the Ctrl (Windows) / Command (Mac) button to select multiple options. What are some of the barriers your county faces that hinder individuals from accessing their healthcare or supporting their health goals? Food insecurity Transportation Housing Employment Interpersonal violence Other May we contact you about your comment/inquiry? Yes No Comment: