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.

Question Title

* 1. What county do you live in?

Douglas County, Kansas

Jefferson County, Kansas

Shawnee County, Kansas

Other county

Question Title

* 2. Check all that apply.

I receive older adult services

I am age 60+

I am a family caregiver to an older adult

I work for a company or organization that assists older adults

I am community member under age 60

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* 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).

chronic health issues

Inability to maintain housing

Inability to do self-care

inability to do housekeeping

isolation or loneliness

transportation

managing medications

loss of hearing or vision

difficulty walking or moving

support for family caregiver

mental health support

not having enough money

difficulty preparing meals

abuse, neglect, exploitation, fraud support

managing budget and paying bills

memory loss or cognitive difficulties

unable to drive

using technology

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* 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)	Meal site meals (Congregate Meals) Essential	Meal site meals (Congregate Meals) Important	Meal site meals (Congregate Meals) Somewhat Important	Meal site meals (Congregate Meals) Not Important
Home Delivered Meals	Home Delivered Meals Essential	Home Delivered Meals Important	Home Delivered Meals Somewhat Important	Home Delivered Meals Not Important
Grab and Go Meals	Grab and Go Meals Essential	Grab and Go Meals Important	Grab and Go Meals Somewhat Important	Grab and Go Meals Not Important
Adult Day Services	Adult Day Services Essential	Adult Day Services Important	Adult Day Services Somewhat Important	Adult Day Services Not Important
Information and Referral Services	Information and Referral Services Essential	Information and Referral Services Important	Information and Referral Services Somewhat Important	Information and Referral Services Not Important
Housing Options assistance	Housing Options assistance Essential	Housing Options assistance Important	Housing Options assistance Somewhat Important	Housing Options assistance Not Important
Homemaker Services	Homemaker Services Essential	Homemaker Services Important	Homemaker Services Somewhat Important	Homemaker Services Not Important
Personal Care Services	Personal Care Services Essential	Personal Care Services Important	Personal Care Services Somewhat Important	Personal Care Services Not Important
Grab bar installation, ramps, bathroom modifications, etc.	Grab bar installation, ramps, bathroom modifications, etc. Essential	Grab bar installation, ramps, bathroom modifications, etc. Important	Grab bar installation, ramps, bathroom modifications, etc. Somewhat Important	Grab bar installation, ramps, bathroom modifications, etc. Not Important
Home Repairs	Home Repairs Essential	Home Repairs Important	Home Repairs Somewhat Important	Home Repairs Not Important
Transportation to medical appointments and pharmacy	Transportation to medical appointments and pharmacy Essential	Transportation to medical appointments and pharmacy Important	Transportation to medical appointments and pharmacy Somewhat Important	Transportation to medical appointments and pharmacy Not Important
Transportation to other settings	Transportation to other settings Essential	Transportation to other settings Important	Transportation to other settings Somewhat Important	Transportation to other settings Not Important
Shopping	Shopping Essential	Shopping Important	Shopping Somewhat Important	Shopping Not Important
Classes to learn about managing chronic disease	Classes to learn about managing chronic disease Essential	Classes to learn about managing chronic disease Important	Classes to learn about managing chronic disease Somewhat Important	Classes to learn about managing chronic disease Not Important
Fall prevention programs	Fall prevention programs Essential	Fall prevention programs Important	Fall prevention programs Somewhat Important	Fall prevention programs Not Important
Legal Assistance	Legal Assistance Essential	Legal Assistance Important	Legal Assistance Somewhat Important	Legal Assistance Not Important
Long Term Care Planning Assistance	Long Term Care Planning Assistance Essential	Long Term Care Planning Assistance Important	Long Term Care Planning Assistance Somewhat Important	Long Term Care Planning Assistance Not Important
Benefits enrollment assistance	Benefits enrollment assistance Essential	Benefits enrollment assistance Important	Benefits enrollment assistance Somewhat Important	Benefits enrollment assistance Not Important
Family Caregiver Support Services (Respite, Support Groups, In Home Services)	Family Caregiver Support Services (Respite, Support Groups, In Home Services) Essential	Family Caregiver Support Services (Respite, Support Groups, In Home Services) Important	Family Caregiver Support Services (Respite, Support Groups, In Home Services) Somewhat Important	Family Caregiver Support Services (Respite, Support Groups, In Home Services) Not Important

Question Title

* 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).

Housing Options assistance

Shopping

Information and Referral Services

Classes to learn about managing chronic disease

Transportation to other settings

Benefits enrollment assistance

Home Repairs

Long Term Care Planning Assistance

Transportation to medical appointments and pharmacy

Grab bar installation, ramps, bathroom modifications, etc.

Legal Assistance

Adult Day Services

Family Caregiver Support Services (Respite, Support Groups, In Home Services)

Personal Care Services

Home Delivered Meals

Meal site meals (Congregate Meals)

Homemaker Services

Fall prevention programs

Grab and Go Meals