2025 Somerset County ADRC Planning Survey Help Us To Help You!

The Somerset County Office on Aging & Disability Services needs your help in planning necessary programs and services for people aged 60+, caregivers and people living with disabilities. By participating in this needs assessment survey, you will help guide us in making decisions about the most needed community-based senior services in Somerset County. Please answer the following questions so that we can gain a better understanding of the seniors living in Somerset County.
1.Mark the box of the municipality to whom you pay your taxes or where you live.
2.Mark Your Gender:
3.Mark your gender identity:
4.Mark Your Age Bracket:
5.Mark your ethnic background:
6.Are you a Veteran?
7.Please indicate the bracket that best represents your annual income:
8.Mark Your Living Arrangement:
9.Do you live:
10.Are you 60+ and head of household?
11.Does your current residence need major repairs, modifications, or changes to improve your ability to live in it over the next 5 years?
12.Have you applied for the Property Tax Freeze?
13.Do you have trouble getting information or service because you do not speak English?
14.Have you or a family member (age 60 or older) ever needed services to help you remain living in your home?
15.Do you presently use services in your home?
16.What services do you need that are NOT available?
17.Why are these services unavailable to you?
18.How many friends or family members do you feel close to? For example, people you can talk to about private matters, or can call on for help?
19.Do you feel lonely or isolated?
20.Do you belong to a church/synagogue/temple/mosque?
21.Would you go to your place of worship if you were in need?
22.Mark ALL the places you use to find out about services / opportunities for older adults:
23.If you had a question about program/services for older adults, who would you call first?
24.What are you currently doing for transportation? Mark all that apply:
25.If you were no longer able to drive, how would you meet your transportation needs? Mark all that apply:
26.When you eat a meal you typically:
27.Within the past 12 months, I was worried whether our food would run our before I got money to buy more:
28.Within the past 12 months, the food we bought did not last and we did not have money to get more:
29.Are you aware Somerset County has six county - operated centers that offer a noon-time meal that meets 1/3 of the Recommended Daily Allowance (RDA)?
30.Do you live with chronic health conditions (heart disease, cancer, diabetes, etc..)?
31.Have you received any of the following vaccinations?
32.Have you ever tested positive for COVID-19?
33.What kind of information do you need relating to vaccinations
34.Do you exercise on a regular basis?
35.Have you fallen in the past six months?
A Caregiver provides hands-on support to someone physically or financially.
36.Are you a caregiver? (If NO, you may skip down to question 37)
37.If you are a caregiver, please indicate which of the following applies to you:
38.How difficult would you say it is for you to care for this person and meet your other responsibility with family and/or work?
39.In case of emergency, (flooding, no electricity) do you have a disaster plan in place?
40.Do you have and use technology? If YES check all that apply
41.If you do not have technology, and need to use technology mark how you get the information:
42.What is your current employment status?
43.Do you volunteer in your community?
44.Please indicate ALL the services you feel your tax dollars should support:
Thank you for taking the time to complete your survey. We value your feedback. Should you have questions or need assistance with services please call (908) 704-6346.
45.Additional Comments: