The Area Agency on Aging of West Alabama provides assistance to older adults, disabled individuals, their families and their caregivers.  The agency wants to hear from persons in Tuscaloosa, Greene, Bibb, Hale, Lamar, Fayette and Pickens Counties.  We as an agency will use this information to better plan our services.  Please respond to the items of this survey as they relate to you personally.

* 1. What is your gender?

* 2. What is your race?

* 3. Are you currently married?

* 4. What is your age?

* 5. What county do you live in?

* 6. Do you consider yourself to be living in a rural area?

* 7. How many people currently live in your household?

* 8. What is your approximate monthly household income? (please add together all incomes {before taxes/deductions} of all persons living in the household)

* 9. Are you currently responsible for the care of one more persons?

50% of survey complete.