Healthy Aging-Cape Cod Regional Survey, 2019 
v. 12/17/18

The Barnstable County Department of Human Services is conducting a Cape-wide survey to learn about our residents' plans as they age, the ways they may be helping others, and their own caregiving and service needs.

This information will allow us to understand our residents’ needs for services now and in the future.

Your responses are anonymous.  You will not be asked for your name.  You may leave your contact information at the end if you wish.
 
Please help us by filling out this 15 minute survey.  Thank you.
 
 
Demographic Information

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* 1. Gender

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* 2. How old are you?  (Please enter your age in the box)

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 4. What is the highest level of education you have completed?

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* 5. How would you describe your work life? (check all that apply)

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* 6. Do you do volunteer work?

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