Senior Services Survey (1-10)

Your opinion matters! Irvine Senior Services is conducting a survey to receive community input on current and anticipated needs of Irvine’s older adult community. Please take a moment to complete this 16 question survey. Your responses will be used to help develop a five-year Strategic Plan for Senior Services. Your participation is greatly appreciated!

1. What is your age?

1. What is your age? A)54 or below

B)55-64

C)65-74

D)75-84

E)85+

2. What is your Gender?

2. What is your Gender? A)Male

B)Female

3. What is your ethnicity/race?

3. What is your ethnicity/race? A) White (Non-Hispanic)

B) Chinese

C) Persian/Iranian (Arabic, Armenian, Egyptian)

D) Korean

E) Japanese

F) Filipino

G) Vietnamese

H) Hispanic

I) Middle Eastern

J) Pacific Islander

K) Black

Other (List Race/Ethnicity)

4. What is the highest level of education that you have completed?

4. What is the highest level of education that you have completed? A) Less than High School

B) High School Diploma (or equivalent)

C) Some College

D) Associates Degree

E) Bachelor's Degree

F) Graduate Level or above

5. What is your current marital status?

5. What is your current marital status? A) Single

B) Married

C) Widowed

D) Divorced

E) Live with partner or significant other

F) Other

6. What is your total household income, including all earners in your household?

6. What is your total household income, including all earners in your household? A) $35,000 or below

B) $35,000-$50,000

C) $50,000-$100,000

D) $100,000-$150,000

E) $150,000 or above

F) Decline to state

7. What is your employment status (Check only one):

7. What is your employment status (Check only one): A) Work full-time

B) Work part-time

C) Work more than one job

D) Retired

E) Unemployed involuntarily (laid off, lost job, etc.)

F) Never worked

Other (please specify)

8. What is the best way to inform you of programs and services offered in Irvine for people 55+? (Check up to three):

8. What is the best way to inform you of programs and services offered in Irvine for people 55+? (Check up to three): A) Newspaper

B) Radio

C) Television (Local Channels)

D) Mail

E) Online

F) Onsite at senior centers

G) Senior Services Newsletter

H) Homeowners Association Newsletter

I) Word of mouth

Other (please specify)

9. What service offered would you be most interested in receiving information about? (Check up to three):

9. What service offered would you be most interested in receiving information about? (Check up to three): A) Recreation and social activities

B) Special Events

C) Community Resources

D) Social Service Support Programs

E) Health Lectures

F) Support Groups

G) Low-Income Housing Options

H) Transportation

Other (please specify)

10. Which statement best represents your participation in services and programs offered at the Lakeview and Rancho Senior Centers?

10. Which statement best represents your participation in services and programs offered at the Lakeview and Rancho Senior Centers? A) I currently participate in programs at one or both of the centers

B) I have participated in the past, but do not participate currently

C) I have never participated in the programs but have some awareness of the services offered

D) I have never participated and am not aware of the services offered

Other (please specify)