Supplement_10_-_Company_Experience_Example_2.pdf

# English (United States) Arabic

1 Maricopa County 2023 Community Health Assessment 2023تقييم الصحة المجتمعية لمقاطعة ماريكوبا لعام

2 In this survey, we want to hear your opinions and experiences related to your health and wellness as a resident of Maricopa County. Your answers, alongside others’, will shape community improvement goals and funding. No personally identifiable information will be collected, and all responses will be kept confidential. Thank you for participating in this survey and supporting your community. This survey is for residents of Maricopa County age 12 and above. If you have questions about the survey or need an alternative format, please email MaricopaHealthMatters@maricopa.gov.

ات المرتبطة بصحتك وعافيتك ي هذا الاستبيان، نريد أ، نستمع إلى الآراء والخبر ف

شكل إجاباتك، وكذلك إجا ي مقاطعة ماريكوبا. ست

بات الآخرين، بصفتك مقيم ف جمع أي معلومات تعريفية

قرر التمويل. لن ت

أهداف التحسي المجتمعية وت

ي هذا الاستبيان حفظ جميع الإجابات بسرية. شكرًا على مشاركتك ف

شخصية، وست

ي مقاطعة ماريكوبا من عمر سنة 12ودعم مجتمعك. هذا الاستبيان للمقيمي ف

. إذا كان لديك أسئلة بشأن الاس تبيان أو كنت تحتاج إلى تنسيق مختلف، فأكبر ي ون يد الإلكبر يرجر مراسلتنا عبر البر

MaricopaHealthMatters@maricopa.gov.

3 This survey is for people who live in Maricopa County at least six months out of the year.

هذا الاستبيان خاص بالأشخاص الذين أقاموا في مقاطعة ماريكوبا لمدة ستة أشهر

.على الأقل من هذا العام

4 1. What Maricopa County zip code do you live in?

مال الرمز البريدي لمقاطعة ماريكوبا حيث تسكن؟ .1

5 2. Please rate your health (For each, choose only one): 2. (لكل نقطة، اختر خيار واحد فقط)يرُجى تقييم صحتك:

6 2a. How would you rate your physical health, such as how your body feels day to day?

2a. أي كيف حالة جسمك من يوم لآخر؟ البدنيةكيف تقُيّم صحتك ،

7 Very Good Fair Poor

ًجيدة جدا جيدة سيئة

8 2b. How would you rate your mental health, such as your mood and how you handle stress day to day?

2b. أي مزاجك العام وكيفية تعاملك مع الضغوط النفسيةكيف تقُيّم صحتك ،

من يوم لآخر؟

9 Very Good Fair Poor

ًجيدة جدا جيدة سيئة

10 2c. How would you rate your connection with others, such as community, friendships, family, faith groups, etc.?

2c. مثل المجتمع والأصدقاء والعائلة الآخرينتواصلك مع كيف تقُيّم ،

والجماعات الدينية، وما إلى ذلك؟

11 Very Good Fair Poor

ًجيدة جدا جيدة سيئة

12 3. Please tell us about your experiences with healthcare (Please read instructions carefully):

اتك المتعلقة بالرعاية الصحية يرُجى .3 رجر قراءة التعليمات إخبارنا بخبر )ي

بعناية(:

13 3a. In the past 12 months, how often were you able to get medical care when you needed to? (Choose only one)

3a. كم مرة تمكنت من الحصول على الرعاية الماضيةشهرًا 12خلال الـ ، )اخبر واحدة فقط( الطبية حينما احتجت إليها؟

14 Always Sometimes Never N/A

دائمًا ًأحيانا ًأبدا لا ينطبق

15 3b. In the past 12 months, how often were you able to get mental health care when you needed to? (Choose only one)

3b. كم مرة تمكنت من الحصول على الرعاية الماضيةشهرًا 12خلال الـ ، )اخبر واحدة فقط(الصحية النفسية حينما احتجت إليها؟

16 Always Sometimes Never N/A

دائمًا ًأحيانا ًأبدا لا ينطبق

17 3c. What would help you get the care you need? (Check all that apply)

3c. ي تحتاجها؟ ما ساعد على حصولك على الرعاية التر

د الذي سي

)حد

كل ما ينطبق(

18 More appointments available Services closer to where I live Lower out of pocket cost for services Evening or weekend appointments Transportation to appointments Clear prices for services

إتاحة المزيد من المواعيد خدمات أقرب أكثر من منطقة سكنك خفض تكلفة الخدمات المدفوعة من المال الخاص مواعيد مسائية أو خلال عطلة نهاية الأسبوع خدمة النقل لحضور المواعيد الطبية أسعار واضحة للخدمات mailto:MaricopaHealthMatters@maricopa.gov

# English (United States) Chinese

1 Maricopa County 2023 Community Health Assessment 马里科帕县 2023年社区健康评估

2 In this survey, we want to hear your opinions and experiences related to your health and wellness as a resident of Maricopa County. Your answers, alongside others’, will shape community improvement goals and funding. No personally identifiable information will be collected, and all responses will be kept confidential. Thank you for participating in this survey and supporting your community. This survey is for residents of Maricopa County age 12 and above. If you have questions about the survey or need an alternative format, please email MaricopaHealthMatters@maricopa.gov.

在此项调查中，作为马里科帕县居民，我们希望听到您对

于您的健康和康宁有关的意见和经验。您的答案，以及其

他人的答案，将形成社区的改善目标和拨款方向。我们不

会收集任何可识别个人身份的信息，所有回复都将予以保

密。感谢您参与本次调查并支持您的社区。此项调查针对

的是马里科帕县 12 岁及以上的居民。如果您对调查有疑问

或需要另一种格式，请发送电子邮件至

MaricopaHealthMatters@maricopa.gov。

3 This survey is for people who live in Maricopa County at least six months out of the year.

这项调查针对的是一年中至少有六个月生活在马里科帕县

的人。

4 1. What Maricopa County zip code do you live in?

1. 您居住在马里科帕县的哪个地区？__________________

5 2. Please rate your health (For each, choose only one): 2. 请为您的健康状况打分(每一项只选一个答案)：

6 2a. How would you rate your physical health, such as how your body feels day to day?

2a. 您如何评价您的身体健康状况，比如您每天的身体

感觉如何?

7 Very Good Fair Poor

很好

一般

不好

8 2b. How would you rate your mental health, such as your mood and how you handle stress day to day?

2b. 您如何评估自己的心理健康状况，比如您的心情以

及您每天如何处理压力?

9 Very Good Fair Poor

很好

一般

不好

10 2c. How would you rate your connection with others, such as community, friendships, family, faith groups, etc.?

2c. 您如何评价您与他人的联系，比如社区、友谊、家

庭、信仰团体等?

11 Very Good Fair Poor

很好

一般

不好

12 3. Please tell us about your experiences with healthcare (Please read instructions carefully):

3. 请告诉我们您的医疗经验(请仔细阅读说明):

13 3a. In the past 12 months, how often were you able to get medical care when you needed to? (Choose only one)

3a. 在过去的 12 个月里，您有多少次能在需要的时候

得到医疗照顾?(只选一个)

14 Always Sometimes Never N/A

总是

有时

从来没有

不适用

15 3b. In the past 12 months, how often were you able to get mental health care when you needed to? (Choose only one)

3b. 在过去的 12 个月里，当您需要的时候，您多久能

得到一次心理健康护理?(只选一个)

16 Always Sometimes Never N/A

总是

有时

从来没有

# English (United States) Swahili

1 Maricopa County 2023 Community Health Assessment Tathmini ya Afya ya Jamii ya 2023 ya Kaunti ya Maricopa

2 In this survey, we want to hear your opinions and experiences related to your health and wellness as a resident of Maricopa County. Your answers, alongside others’, will shape community improvement goals and funding. No personally identifiable information will be collected, and all responses will be kept confidential. Thank you for participating in this survey and supporting your community. This survey is for residents of Maricopa County age 12 and above. If you have questions about the survey or need an alternative format, please email MaricopaHealthMatters@maricopa.gov.

Katika utafiti huu, tunataka kusikia maoni yako na mambo unayopitia katika afya na siha yako kama mkazi wa Kaunti ya Maricopa. Majibu yako, pamoja na majibu ya watu wengine, yatasaidia kuweka malengo ya kuimarisha jamii na ufadhili.

Hakuna taarifa za kibinafsi zitakazokusanywa, na majibu yote yatawekwa kuwa siri. Asante kwa kushiriki katika utafiti huu na kusaidia jamii yako. Utafiti huu ni wa wakazi wa Kaunti ya Maricopa wenye umri wa miaka 12 na zaidi. Ikiwa una maswali kuhusu utafiti au unahitaji umbizo mbadala, tafadhali tuma barua pepe kwa MaricopaHealthMatters@maricopa.gov.

3 This survey is for people who live in Maricopa County at least six months out of the year.

Utafiti huu ni wa watu wanaoishi katika Kaunti ya Maricopa angalau miezi sita kila mwaka.

4 1. What Maricopa County zip code do you live in?

1. Je, unaishi katika msimbo gani wa posta wa Kaunti ya Maricopa? __________________

5 2. Please rate your health (For each, choose only one): 2. Tafadhali kadiria afya yako (Chagua jibu moja tu katika kila swali):

6 2a. How would you rate your physical health, such as how your body feels day to day?

2a. Je, unaweza kukadiria vipi afya yako ya kimwili, kama vile jinsi unavyohisi mwilini kila siku?

7 Very Good Fair Poor

Vizuri Sana Vizuri Kiasi Vibaya

8 2b. How would you rate your mental health, such as your mood and how you handle stress day to day?

2b. Je, unaweza kukadiria vipi afya yako ya akili, kama vile hisia zako na jinsi unavyokabiliana na msongo wa mawazo kila siku?

9 Very Good Fair Poor

Vizuri Sana Vizuri Kiasi Vibaya

10 2c. How would you rate your connection with others, such as community, friendships, family, faith groups, etc.?

2c. Je, unaweza kukadiria vipi uhusiano wako na watu wengine, kama vile jamii, marafiki, familia, vikundi vya imani, n.k.?

11 Very Good Fair Poor

Vizuri Sana Vizuri Kiasi Vibaya

12 3. Please tell us about your experiences with healthcare (Please read instructions carefully):

3. Tafadhali tuambie kuhusu mambo ambayo umepitia katika huduma ya afya (Tafadhali soma maagizo kwa makini):

13 3a. In the past 12 months, how often were you able to get medical care when you needed to? (Choose only one)

3a. Katika miezi 12 iliyopita, je, uliweza kupata huduma ya matibabu mara ngapi ulipohitaji kufanya hivyo?

(Chagua moja tu)

14 Always Sometimes Never N/A

Kila Mara Wakati Mwingine Kamwe Haihusiki

15 3b. In the past 12 months, how often were you able to get mental health care when you needed to? (Choose only one)

3b. Katika miezi 12 iliyopita, je, uliweza kupata huduma ya afya ya akili mara ngapi ulipohitaji kufanya hivyo?

(Chagua moja tu)

16 Always Sometimes Never N/A

Kila Mara Wakati Mwingine Kamwe Haihusiki

17 3c. What would help you get the care you need? (Check all that apply)

3c. Je, jambo gani linaweza kukusaidia kupata huduma unayohitaji? (Tia alama kwenye yote yanayohusika)

18 More appointments available Services closer to where I live Lower out of pocket cost for services Evening or weekend appointments

Kupata miadi nyingi zaidi Kupata huduma karibu na ninapoishi Kupunguziwa gharama ya huduma ninayopaswa kulipa mailto:MaricopaHealthMatters@maricopa.gov mailto:MaricopaHealthMatters@maricopa.gov