Sickle Cell Disease
NBCI SICKLE CELL HEALTH SURVEY AND CENSUS OF NBCI CHURCHES

Purpose

The purpose of this five-question survey is to gain understanding of the health concerns of our sickle cell patients, warriors, and families. We also need to find out how the number of members in our congregations have the sickle cell disease, trait, and any other related blood issues.

Questions

  1. Do you know what sickle cell anemia is? Yes No

  2. Do you have sickle cell disease or sickle cell trait? What are your three chief medical complaints?

    1.

    2.

    3.

  3. Do you have a primary care physician or access to medical care? Yes No

    What is the name of your medical physician and where do you receive medical care?

  4. Are you in need of medical support or contact information? Yes No

  5. Do you know of a family or church member who has sickle cell disease that needs medical and social service? Yes No

    Are you at liberty to share their contact information? Yes No

Census of NBCI Church Demographics

Do you know of anyone in your congregation who has sickle cell disease? Yes No

What church are you a member of

Who is your Pastor?