1. Senior Survey

Dear Alaskan Senior:       
      The 2022 Senior Survey is part of an effort to gather information about senior needs as the Alaska Commission on Aging with the State Plan Advisory Council develop the new state Plan for Senior Services, which will cover fiscal years 2024 through 2027. Your responses will be used to develop a core set of goals, objectives, strategies, and performance measures for the new State Plan for Senior Services. Alaska's State Plan for Senior Services satisfies a federal requirement for the state to receive federal funds under the Older Americans Act for senior programs and services. These funds provide support for an array of senior services including home-delivered meals, congregate meals, transportation, family caregiver respite, in-home supports, elder safety, the Senior Voice, and much more.
       The Plan's goals also provide guidance for senior housing and vocational training for seniors who qualify for the Mature Alaskans Seeking Skills Training Program. Your answers will be totally anonymous. No one will know that these responses come from you. Please complete this survey by October 15, 2022. Please know that your voice matters. Your opinions are important and will help to develop a plan that is truly responsive to senior needs around the state.
                   Thank you for your participation!

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* 1. What is your age?

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* 2. What is your sex?

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* 3. What is your race/heritage? Please select all that apply.

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* 4. Are you Hispanic/Latino/Spanish

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* 5. What region do you live in or live closest to? Please choose one.

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* 6. How many years have you lived in your current residence

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* 7. Do you live alone?

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* 8. Please rate the importance of the following concerns based on how much they affect you. Please fill in the appropriate circle.

  Very Important Somewhat Important Less Important Don't Know
(a) Access to health care
(b) Financial security
(c) Maintaining physical health
(d) Fuel costs
(e) Transportation
(f) Having enough food to eat
(g) Affordable and accessible housing
(h) Assisted living facilities
(i) Availability of in-home, long-term support services
(j) Memory loss
(k) Depression
(l) Access to information about long-term support services
(m) Information and access to caregiver supports

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* 9. What service(s) do you believe are needed in your community? Please rate all that apply.

  Very Important Somewhat Important Less Important Not Sure
(a) Senior center programs and activities
(b) Programs that give families a break in caregiving (Adult Day & Respite)
(c) Health Care Services
(d) Transportation
(e) Affordable and accessible housing
(f) Assisted living facilities    
(g) Caregiver Supports
(h) Senior job training/employment
(i) Services for seniors with dementia and support for their families
(j) Senior protection
(k) Support for grandparents raising grandchildren
(l) Health promotion and fall prevention activities
(m) Age-appropriate recreational activities
(n) Lifelong learning and educational opportunities
(o) Information about housing and other private/public long-term care services
(p) Behavioral health services

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* 10. Do you provide home care for a family member or friend? Check all that apply.

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* 11. Are you currently raising grandchildren?

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* 12. Do you visit your senior center?

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* 13. What do you look for in a senior center?

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* 14. Do you volunteer in your community?

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* 15. If you answered yes to the previous question, approximately how many hours do you volunteer each month?

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* 16. Do you participate in a meals program?

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* 17. Does the meal program, in addition to the food you eat, adequately provide you with a well-balanced diet? 

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* 18. How do you rate the quality of the meals?

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* 19. Do you participate in subsistence activities or does someone provide subsistence food to you?  

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* 20. What are the sources of your household's income? (Mark all that apply.)

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* 21. Is your monthly income enough to meet all your monthly expenses?

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* 22. Please rate your top 3 concerns related to financial security with #1 being your top concern.

  1st Choice 2nd Choice 3rd Choice
Costs of daily essentials such as food, housing, heat/utilities, transportation
Costs of health care and medication
Budget reductions to programs serving seniors
High property taxes and/or other taxes

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* 23. What is your approximate average annual household income from all sources?

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* 24. How many household members does your income provide for?

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* 25. Are you currently employed or self-employed?

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* 26. If you are currently working, when do you expect to retire? (Skip this question if you are already retired.)

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* 27. What type of housing do you live in?

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* 28. Is your housing in need of modification in order for you to be safe and comfortable? (For example does your home need weatherization, accessibility ramps, grab bars, lifts, etc.) 

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* 29. If yes, please indicate what improvements you would like to have. Mark all that apply.

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* 30. Where do you expect to be living five years from now?

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* 31. Besides yourself, who else lives in your household? (Check all that apply.)

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* 32. Do you have access to reliable transportation?

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* 33. Approximately what distance are you required to travel to shop for food, attend medical appointments, or social activities?

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* 34. Do you live on a road system?

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* 35. What transportation do you use regularly?

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* 36. Where do you go when you have questions about the services available for seniors? (Check all that apply.)

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* 37. In general, how would you rate your overall health?

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* 38. Do you experience an illness/condition that limits activities you can participate in? (Mark all that apply.)

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* 39. How often have you fallen in the last 6 months?

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* 40. Please rank the top 3 (three) barriers that seniors in your community encounter when they try to access primary/basic health care:

  1st Choice 2nd Choice 3rd Choice
Provider does not accept Medicare
Doctor is not taking new senior patients
Provider does not accept Medicaid
Dental, vision, hearing, or other desired health care services are not available
No transportation
Service not available in area
Provider does not accept VA health care/TriCare
Cost is too high and unable to pay
Shortage of specialists, gerontologists

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* 41. Have you seen a dentist within the last two years?

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* 42. Have you seen a vision specialist within the last two years?

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* 43. What type(s) of health care insurance do you have? (check all that apply)

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* 44. Are you a veteran or spouse of a veteran?

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* 45. Are you registered with the VA?

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* 46. Do you have VA health care?

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* 47. In general, how much help do you need with the following tasks? Please fill in the appropriate circles below.

  I can do this myself I can do this, but with difficulty I cannot do this Not applicable
Personal tasks
Shopping
Preparing meals
Household chores (cleaning house, laundry)
General home maintenance (splitting wood, painting, cleaning gutters, etc.)
Managing Medications
Managing finances, paying bills
Getting to appointments or other places I need to go (transportation)

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* 48. How often are you able to get the help you need for the tasks listed in question #47? Please mark on response.

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* 49. If you are getting help with these activities, who provides the help? Please check the boxes that apply.

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* 50. If you receive services from an agency, please tell us how these services have affected your quality of life. (Please fill in the appropriate circles below.)

  Significant positive difference Somewhat of a difference No difference Negative difference Do not use service
Senior meals served at a senior center
Home Delivered Meals  
Transportation          
Homemaker/chore services
Care coordination
Family caregiver respite
Adult day
Senior exercise
Senior Center recreation activities
Personal care services
Managing finances, paying bills

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* 51. As you age, what is your greatest worry/fear as you think about staying independent and in your home? Please rate up to 3 concerns with "1" being of highest concern.

  1st Choice 2nd Choice 3rd Choice
Access to healthy food
Transportation
Declining health
Limited income to afford necessities
Declining mental abilities
Isolation and loneliness
Affordable health care
Medication management
Falls
Housing that does not meet my needs
Safe, reliable, caregiver and services
Affordable Housing

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* 52. Have you or someone you know experienced elder abuse or exploitation?

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* 53. If so, what forms of elder abuse? Please mark all that apply.

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* 54. Did you report abuse?

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* 55. Did you or the person receive help?

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* 56. Long term care Ombudsman service identifies, investigates, and resolves complaints made by or on behalf of residents of nursing homes, basic care, swing beds, and assisted living homes.  Have you used this program?

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* 57. Alaska Legal Services provides legal advice and representation to low income older individuals.  Have you used these services?

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* 58. How has your housing cost changed in the past year?

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* 59. How has the cost of food changed the past year?

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* 60. How have your transportation costs changed in the past year?

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* 61. How secure are you in handling unanticipated expenses?

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* 62. Have you participated in any new or fewer activities than before COVID?

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* 63. Have you spent more time on or have an increased interest in electronic media, e.g. Facebook, other social media, news and current events, television or other screen time such a ZOOM.

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* 64. Rate your comfort level with technology

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* 65. What keeps you from accessing technology? Check all that apply.

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* 66. Are you aware of opportunities in your community to learn more about technology?

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* 67. Have you participated in an educational class on technology?

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* 68. Would you go to any of the following to learn how to use technology or access the internet? Check all that apply:

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* 69. Do you have internet access at home?

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* 70. What is your zip code?

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* 71. Please add any specific comments you have on the services you have used, or would like to see offered, or any other topic that is important to you. What is working well? What needs improvement? Thank you for answering this senior survey. This information will be used to guide Alaska's efforts to plan for an aging population. If you have any question, please call the Alaska Commission on Aging at 907-465-3250.

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