Your Opinion Counts!

Helping Seniors of Brevard is reaching out to viewers, listeners, and readers to request your participation in filling out this survey. Our Senior Advocacy Group has organized this Senior Needs Survey and it’s important that we have your input in order to help the Group develop a plan to help seniors in our community.
 
Please take the time to submit - prior to Julyr 31, 2017 - and you will be entered to win two FREE MOVIE tickets, courtesy of Senior Scene Magazine, at the Premiere Theatres Oaks Stadium 10.  Senior Scene will select two different winners at random.  If you would like to be entered, please provide the requested phone number/address information at the end of this survey. 
 
submit your survey online at www.HelpingSeniorsofBrevard.org or by mailing to: Helping Seniors - P.O. Box 372936 - Satellite Beach FL 32937.  For questions and assistance, please call us at 321-473-7770.  

Thank you for helping us in the fulfilling of our mission of HELPING SENIORS!.

* 1. ARE YOU RECEIVING LOCAL ELDER SERVICES NOW?

* 2. DO YOU EXPERIENCE LONG WAITING TIMES (15+ MINUTES) WHEN CALLING ELDER SERVICES AGENCIES?

* 3. HOW IMPORTANT IS FINDING THE CORRECT INFORMATION FOR YOUR NEEDS?

* 4. DO YOU KNOW HOW TO FIND THE INFORMATION FOR YOUR NEEDS?

* 5. PLEASE RATE THE IMPORTANCE OF YOUR SENIOR NEEDS.
(Please rate each on a scale of 1 to 5 with 1 being NOT IMPORTANT & 10 being VERY IMPORTANT.)

  1 (Not Important) 2 3 (Somewhat Important) 4 5 (Very Important) N/A (Not Applicable)
CAREGIVING/NEEDING HELP CAREGIVING
FINANCES/HELP WITH ORGANIZING FINANCES
HEALTH/GENERAL INFORMATION REGARDING HEALTH
HOUSING & RELATED
INFORMATION ON AGING & AGING PROGRAMS
ISOLATION/BEING ALONE
MEDICAL CARE & SERVICES
SOCIAL ACTIVITES
TRANSPORTATION
PLANNING FOR AGING

* 6. HOW WELL DO OUR LOCAL GOVERNMENT AGENCIES HELP YOU WITH SENIOR NEEDS?
(Please rate each one on a scale of 1 to 5 with 1 being POOR and 10 being EXCELLENT)

  1 (Poor) 2 3 (Okay) 4 5 (Excellent) N/A (Not Applicable)
CAREGIVING/NEEDING HELP CAREGIVING
FINANCES/HELP WITH ORGANIZING FINANCES
HEALTH/GENERAL INFORMATION REGARDING HEALTH
HOUSING & RELATED
INFORMATION ON AGING & AGING PROGRAMS
ISOLATION/BEING ALONE
MEDICAL CARE & SERVICES
SOCIAL ACTIVITES
TRANSPORTATION
PLANNING FOR AGING

* 7. DO YOU FIND THAT ELECTED OFFICIALS HERE IN BREVARD COUNTY (STATE, COUNTY, LOCAL) HAVE A GOOD UNDERSTANDING OF, AND FOCUS ON, THE NEEDS OF SENIORS IN OUR AREA?

* 8. IN YOUR OPINION, WHO IS MOST RESPONSIBLE FOR SENIORS SERVICES IN OUR AREA?

* 9.
HELPING SENIORS ASSISTS SENIORS VIA:

(1) OUR FREE SENIOR INFORMATION HELP LINE (321-473-7770);
(2) OUR HELPING SENIORS MEDIA OUTREACH (TELEVISION; RADIO; NEWSLETTER, ONLINE & SOCIAL MEDIA, AND COLUMNS, FROM OUR PRESIDENT/FOUNDER, JOE STECKLER, IN A WIDE VARIETY OF AREA PUBLICATIONS.)
(3) ADVOCATING, ON BEHALF OF SENIORS, COUNTY-WIDE.

WHAT COMMENTS/SUGGESTIONS DO YOU HAVE FOR HELPING SENIORS IN ORDER THAT WE MAY HELP YOU EVEN FURTHER?

* 10. ENTER TO WIN (Optional):(Name can be anonymous)

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