2021 Home for the Holidays Campaign Survey Question Title * 1. Now that the Aging Network is distributing materials in new ways due to COVID-19, do you plan to order brochures this year? Yes No Question Title * 2. For "no" responses to Q1, please select one of the below options. Cost of purchasing a lot of copies My agency is not distributing as many hard-copy materials during COVID-19 We already have similar materials on this topic Other Question Title * 3. Have you ordered Home for the Holidays brochures in the past? Yes No Question Title * 4. How do you plan to distribute the brochures you order? With home-delivered meals Via provision of other services (e.g., supportive services, case management) As part of a special mailing At in-person events Other (please specify) Question Title * 5. As part of this year’s campaign, USAging will conduct media outreach on the campaign topic along with examples of much-needed services the Aging Network provides to support older adults as they navigate a return to normal. May USAging promote your agency’s work to adapt its programs for COVID-19? Yes No Question Title * 6. [For “yes” responses to Q5] Please tell us about yourself and your agency’s program. Name Email Address Phone Number Agency Name Description of Program Question Title * 7. Do you have any clients who may be willing to be interviewed by media to discuss their participation in aging services and how it has affected them during COVID-19? Yes No Thank you for completing our survey. If you indicated that your agency would like to be contacted to participate in the campaign, we may be contacting you soon. In the meantime, please visit usaging.org/h4h2021 to learn more about the campaign. Done