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1. 2017 Senior Needs Survey

The Senior Connection Center is committed to improving the lives of seniors as well as their families and caregivers. This survey will take approximately 5 minutes to complete. Your answers will be used to help us plan and improve the information and services we provide to local seniors and those who care for them.

Thank you for your time today.

Charlotte McHenry, President & CEO

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* 1. What do you think are the most important needs, issues or concerns of Older Adults and Caregivers living in your Community? (Check the top three concerns that apply)

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* 2. Which services or programs for older adults would you like to see provided or increased?

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* 3. What services or programs are you or older family members currently utilizing?

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* 4. Are you the primary caregiver for someone age 60 or older?

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* 5. Would you be interested in learning more about volunteer opportunities with  Senior Connection Center including opportunities to become Trainers or Partners in our Health & Wellness programs? Please select volunteer opportunities you would be interested in.

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* 6. How do you find out what is going on in your community?

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* 7. Which county do you live in?

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* 8. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 33619)

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* 9. What is your age?

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* 10. What is your current living situation?

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* 11. Are you currently employed in a business or profession where you provide goods or services to older adults?

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* 12. Please provide your contact information so we may contact you about those items that interest you: (We will not share you email address with any other organization).

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