*This survey is meant for completion by those age 60 and over.
*All information is confidential and used only in its aggregate form.
*Responses will improve services to seniors in the county.

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* 1. Did you know that Montgomery County has an office that serves seniors called the Office of Senior Services?

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* 2. Do you know what services and resources are provided by Montgomery County Office of Senior Services?

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* 3. Please choose the statement that best describes you:

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* 4. Please choose the statement that best describes your age:

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* 5. What is your zip code?

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* 6. Race (choose all that apply)

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* 7. Are you of Hispanic, Latino or Spanish origin?

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* 8. What is your current gender-identity (defined as one's inner sense of one's own gender)?  Select one.

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* 9. Which of the following statements best describes you:

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* 10. Please rank the following statements about Non-Care Services by level of importance to you.  1 is most important and 7 is least important.

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* 11. Where do you get your information about services and programs for seniors (choose all that apply)?

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* 12. Choose up to five of the locations listed that you think seniors would like to get information about services available to them.

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* 13. How often do you visit the Senior Community Center?

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* 14. If you visited the Senior Community Center, how did you get there?

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* 15. If you attend a Senior Community Center, what is your most important reason?

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* 16. Senior Community Centers offer classes online (for example via Zoom), as well as in person, which do you prefer?

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* 17. What would increase your use of a Senior Community Center (choose all that apply)?

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