Community Assessment

As part of our Washington County Community Assessment for 2019, please take 10 - 15 minutes to provide data about yourself and your household. This information will be used to set priorities and make plans to improve the overall health of our community. Be assured that your responses will remain anonymous. We value your time and input! More than one survey is allowed per household. If you have questions while taking the survey, please contact Penny Pricer (

When you complete the survey, you will have a chance to enter a drawing for up to $200 in Braum’s Gift Cards. Thank you for your participation!

Click here to download a PDF copy of the survey to print and fill out.

OR Enter your answers online here. - SECURE, HIPAA COMPLIANT

Return completed surveys to: Bartlesville Public Library, 600 S. Johnstone Ave, Anchor House, 822 S. Johnstone Ave. (black mail slot), or the Delaware Child Development Center, 5110 Tuxedo Blvd. (hunter green roof)