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West Hartford

Community Needs Survey

Interested in helping the West Hartford - Bloomfield Health District learn about our Community’s needs? 

We are looking for residents of West Hartford and Bloomfield age 18 or older to participate in a short, anonymous, survey. The survey can be completed online and will last about 10-20 minutes. The purpose of this survey is to better understand the needs of the West Hartford and Bloomfield communities to help improve the well-being of our community and its residents. The survey includes questions on basic demographic information, general health, COVID-19, and the general community. West Hartford and Bloomfield residents that complete the survey can enter their email into a raffle to win 1 of 13 $25 gift cards. 

To take the survey, please visit or scan the QR code 

QR code

If you have a question about resources in your community, please contact Christopher Hansen.

This study is being conducted in partnership with the Yale School of Public Health. If you have questions about this study, its design and purpose, please contact the research team at

Covid Needs Assessment Flyer -Spanish
Covid Needs Assessment Flyer -Portuguese