The Speak to Your Health! Community Survey project examines health patterns, health behaviors and attitudes, and social and environmental determinants of health for Genesee County, MI residents. The survey has been conducted biennially since 2003 and the results have been extensively utilized by local agencies and organizations. For example, the Genesee County Health Department uses STYH results to develop and assess progress related to their 5-year strategic plan. The project has brought direct benefits to Genesee County residents, including the creation and guidance of health service delivery programs and perhaps most notably through the establishment of the Genesee Health Plan, which provided basic health coverage to uninsured adults a decade before the Affordable Care Act was implemented. The project is unique in several ways including community ownership, the connection to capacity building for research by community institutions and organizations, and a focus on how social justice issues are linked to health behaviors and service utilization.