A key aspect of conducting a comprehensive and meaningful state health assessment is gaining deeper insights into what is going on in the communities and why. It was important to garner community feedback that reflected the unique needs of California’s diverse population. CDPH leveraged the direct relationships that our Local Health Department partners have with their communities to surface community identified priorities and issues. Using their processes as an extension of ours, the CDPH reviewed a sample of 22 LHD community health assessments and 20 community health improvement plans. This sample was diverse in nature – spanning across the state; including northern, bay, central valley, and southern counties and reflecting small, medium and large and both rural and urban populations.