Cuyahoga County Board of Health Feedback Activity during Health Impact Assessment Training Sessions

OMB Control Number: 2030-0051

Expiration Date: 05/31/2024

“This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). Responses to this collection of information are voluntary 5 CFR 1320. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to range between 5 to 20 minutes for this activity. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.”

Health Impact Assessment Feedback Activity (Traditional Focus Group Option*):

* The project’s Environmental Justice Community Advisory Board (CAB) will decide on feedback delivery mode (traditional focus group and/or storytelling survey) and make modifications to these questions based on project needs.

Facilitator Name: ____________________

Notetaker Name: ____________________

Facilitator Script: “Thank-you for participating in our Health Impact Assessment Training Sessions. We would like to gain further feedback regarding potential Environmental Justice Programs that Cuyahoga County Board of Health is considering in your area including the Health Urban Tree Canopy Program and Healthful Homes programs. Remember responses are voluntary and you can answer as little or as many questions as you would like.

Before we get started can each of you briefly fill out the notecard for the community you are representing, how long you have lived or worked in this community, your age range, and if you would like to be considered for participation in program activities.”

Focus Group Questions

• General (5-10 minutes)

1. What environmental burdens has your community faced and what is the most problematic at your home?

Potential questions for more clarity:

1. Have these issues impacted you and your family’s health?

2. What problems do you think are the most important to address?

• Healthful Homes Program (5-10 minutes)

2. What are some ways we can help make your home a healthier space?

Potential questions for more clarity:

1. Do you have any concerns regarding your environment and health at home?

   1. Inside?

   2. Outside?

2. Some examples may include improving air quality, decreasing risk of flooding, making homes more resistant to smoke from wildfires etc.