In the Spring of 2019, a group of over 50 Madras community members gathered at the COCC-Madras Campus to participate in a visioning meeting regarding health and well being factors in the community, led by members of the JeffCoConnects Community Network. Using a combination of brainstorming and privatization processes called nominal group technique, each facilitated table worked to identify supports, challenges, and solutions to health and well being issues in Madras.  The following is an ordered compilation of priorities identified, as well as themes that surfaced in the small groups.  These ideas will be triangulated and considered as local and county-wide priorities. The priorities identified by the network will help to focus efforts to improve health and well-being over the next 5 years.