Senior Services Survey (11-16)

11. What services offered at the Rancho and Lakeview Senior Centers do you think are most important for older adults (Check up to three):

11. What services offered at the Rancho and Lakeview Senior Centers do you think are most important for older adults (Check up to three): A) Recreation classes and activities

B) Outreach services (care management, in-home services)

C) Nutrition service (Meals on Wheels program or lunches at lakeview Senior Center)

D) Health services (support groups, health assessments, legal services, etc.)

Other (please specify)

12. Which seminar/lecture topics would be of most interest to you (Check all that apply):

12. Which seminar/lecture topics would be of most interest to you (Check all that apply): A) Financial

B) Legal

C) Employment

D) Insurance and Benefits

E) Home Modifications

F) Physical Health

G) Mental Health

H) Transportation

Other (please specify)

13. In the past 24 months, have you had to make any of the following accomodations to support your income? (Check all that apply):

13. In the past 24 months, have you had to make any of the following accomodations to support your income? (Check all that apply): A) Take a second job

B) Borrow money

C) Take a second out on your home loan

D) Dip into your savings

E) Sell stocks

F) Dip into your retirement

G) Rent a room in your home

H) Sell your home

I) Move

J)None of the above

Other (please specify)

14. What is your primary source of transportation?

14. What is your primary source of transportation? A) Drive own vehicle

B) Transported by friends or family

C) TRIPS Program (City offered transportation for persons with disabilities and seniors unable to drive)

D) OCTA Services (Including Access)

Other (please specify)

15. Are you currently a caregiver for?

15. Are you currently a caregiver for? A) Young children still in the household

B) Adult children returning to household

C) Spouse

D) Parents or in-laws

E) Grandchildren

F) None of the above

Other (please specify)

16. Which statement best fits your participation as a community volunteer?

16. Which statement best fits your participation as a community volunteer? A) I am an active volunteer at one of the senior centers

B) I volunteer for one or more community organizations

C) I am not a current volunteer, but would be interestd in learning more about volunteer opportunities

D) I am not able or interested in volunteering

E) Other

List any comments that you have to share: