The Department of Social Services, Division of Adult Services & Aging (ASA) provides information and assistance by helping individuals age 60 years and older and individuals age 18 years and older with disabilities to access in-home services and supports.

ASA promotes in-home and community-based services to prevent or delay premature or inappropriate nursing home placement. ASA wants to learn which in-home services you or your family member need or may need to continue to live at home. Thank you for taking the time to complete this survey.

Question Title

1. Currently, what kind of in-home assistance do you or a family member receive to complete daily living activities? Mark all that apply.

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