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Older Adult Community Needs Assessment

Thank you for taking the time to complete this survey. The Jayhawk Area Agency on Aging is conducting this survey in our three-county planning and service area to determine the needs of older adults and assist with development of programs and services for individuals aged 60 and older and their caregivers. Your input will be utilized in planning and service delivery of programs offered and funded through Federal Older Americans Act funds to benefit older adults in Jefferson, Douglas, and Shawnee Counties in Kansas. Your responses are confidential and only group data will be reported.
1.What county do you live in?(Required.)
2.Check all that apply.
3.What do you think are the three concerns that have the greatest impact on an older adult continuing to live independently? Select only three (3).(Required.)
4.For each service area, please rate how important each service is for older adults: essential, important, somewhat important, or not important
Essential
Important
Somewhat Important
Not Important
Meal site meals (Congregate Meals)
Home Delivered Meals
Grab and Go Meals
Adult Day Services
Information and Referral Services
Housing Options assistance
Homemaker Services
Personal Care Services
Grab bar installation, ramps, bathroom modifications, etc.
Home Repairs
Transportation to medical appointments and pharmacy
Transportation to other settings
Shopping
Classes to learn about managing chronic disease
Fall prevention programs
Legal Assistance
Long Term Care Planning Assistance
Benefits enrollment assistance
Family Caregiver Support Services (Respite, Support Groups, In Home Services)
5.Check the three older adult services that are most in need of additional funding because of unmet needs in your community. Select only three (3).(Required.)