AJFCA is investigating how agencies are bridging the gap between aging in disabilities services. Your feedback will help us develop discussion call topics and initiatives to assist member agencies in this work.

Please only provide one response per agency.
Agency Information 

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* 1. Agency Information 

What services do you offer that both older adults and people with disabilities participate in? (Check all that apply)

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* 2. What services do you offer that both older adults and people with disabilities participate in? (Check all that apply)

My agency serves (check all that apply):

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* 3. My agency serves (check all that apply):

Does your agency's organizational structure combine older adult and disabilities services in the following ways? (check all that apply)

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* 4. Does your agency's organizational structure combine older adult and disabilities services in the following ways? (check all that apply)

Where do you see the synergies between these service areas?

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* 5. Where do you see the synergies between these service areas?

My agency takes advantage of funding that (Check all that apply):

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* 6. My agency takes advantage of funding that (Check all that apply):

have you faced challenges in working with or advocating on behalf of people aging with lifelong disabilities? If so, how have you overcome those challenges?

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* 7. have you faced challenges in working with or advocating on behalf of people aging with lifelong disabilities? If so, how have you overcome those challenges?

Do you have any programs/ services specifically targeted at bridging the gap in aging and disabilities services?

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* 8. Do you have any programs/ services specifically targeted at bridging the gap in aging and disabilities services?

Are you interested in discussing this topic with other network members?

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* 9. Are you interested in discussing this topic with other network members?

Additional Comments

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* 10. Additional Comments

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