Community Needs Assessment Survey for 2021-2022
Area Agency on Aging of the Capital Area

The 28 Texas Area Agencies on Aging are conducting this survey to collect your opinions about what matters most to the older adults and caregivers who live in your region. Responses will guide their Area Plans for Aging Services and help determine the programs and services offered. Please answer the following questions, which do not ask for your name or other identifying information. This survey takes approximately 10 minutes to complete.

Thank you for your time and contributions. We value your perspective and greatly appreciate your participation in this important survey effort.

Question Title

* 1. Which categories best describe you? (Please select all that apply.)

Area Agency on Aging client over age 60

Area Agency on Aging client under age 60

Individual age 60 or over who is not an Area Agency on Aging client

Individual under age 60 who is not an Area Agency on Aging client

Individual with a disability

Family Caregiver (Nonpaid, anyone who provides any type of physical and/or emotional care for a loved one who is ill or has a disability at home)

Service Provider

Elected Official

Board or Aging Advisory Council Member

Other (please specify)

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* 2. Please select the county in which you live.

Bastrop

Blanco

Burnet

Caldwell

Fayette

Hays

Lee

Llano

Travis

Williamson

Other (please specify)

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* 3. Please list the zip code in which you live in?

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* 4. If you selected Service Provider in question #1, please select the county or counties in which your organization serves older adults and/or family caregivers. (If you are not a Service Provider, please skip to Question #5.)

Bastrop

Blanco

Burnet

Caldwell

Fayette

Hays

Lee

Llano

Travis

Williamson

Other (please specify)

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* 5. From the list below of most common services provided by Area Agencies on Aging, how would you RANK the IMPORTANCE of these services to older adults and family caregivers in your community? (1 being most important, 13 being least important)

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* 6. What are the top three needs to be addressed so that older adults can continue to live independently?

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* 7. If you are a family caregiver, what is the greatest challenge encountered in providing care for a loved one? (If you are not a family caregiver, please skip to question #8.)

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* 8. As an older adult, how concerning are each of the following issues?

	Highly Concerning	Somewhat Concerning	Slightly Concerning	Not Concerning at all
Health Issues	Health Issues Highly Concerning	Health Issues Somewhat Concerning	Health Issues Slightly Concerning	Health Issues Not Concerning at all
Finances	Finances Highly Concerning	Finances Somewhat Concerning	Finances Slightly Concerning	Finances Not Concerning at all
Safety	Safety Highly Concerning	Safety Somewhat Concerning	Safety Slightly Concerning	Safety Not Concerning at all
Scams/Fraud	Scams/Fraud Highly Concerning	Scams/Fraud Somewhat Concerning	Scams/Fraud Slightly Concerning	Scams/Fraud Not Concerning at all
Physical abuse	Physical abuse Highly Concerning	Physical abuse Somewhat Concerning	Physical abuse Slightly Concerning	Physical abuse Not Concerning at all
Lack of transportation	Lack of transportation Highly Concerning	Lack of transportation Somewhat Concerning	Lack of transportation Slightly Concerning	Lack of transportation Not Concerning at all
Inability to carry out activities of daily living, such as walking, bathing, dressing, toileting, feeding, and grooming	Inability to carry out activities of daily living, such as walking, bathing, dressing, toileting, feeding, and grooming Highly Concerning	Inability to carry out activities of daily living, such as walking, bathing, dressing, toileting, feeding, and grooming Somewhat Concerning	Inability to carry out activities of daily living, such as walking, bathing, dressing, toileting, feeding, and grooming Slightly Concerning	Inability to carry out activities of daily living, such as walking, bathing, dressing, toileting, feeding, and grooming Not Concerning at all
Information about services that are available for older adults	Information about services that are available for older adults Highly Concerning	Information about services that are available for older adults Somewhat Concerning	Information about services that are available for older adults Slightly Concerning	Information about services that are available for older adults Not Concerning at all
Food/Nutrition	Food/Nutrition Highly Concerning	Food/Nutrition Somewhat Concerning	Food/Nutrition Slightly Concerning	Food/Nutrition Not Concerning at all
Public Benefits	Public Benefits Highly Concerning	Public Benefits Somewhat Concerning	Public Benefits Slightly Concerning	Public Benefits Not Concerning at all
Making the home more accessible (examples: handrails, ramps, etc.)	Making the home more accessible (examples: handrails, ramps, etc.) Highly Concerning	Making the home more accessible (examples: handrails, ramps, etc.) Somewhat Concerning	Making the home more accessible (examples: handrails, ramps, etc.) Slightly Concerning	Making the home more accessible (examples: handrails, ramps, etc.) Not Concerning at all
Depression, loneliness, isolation	Depression, loneliness, isolation Highly Concerning	Depression, loneliness, isolation Somewhat Concerning	Depression, loneliness, isolation Slightly Concerning	Depression, loneliness, isolation Not Concerning at all
Medical and Legal Documents, such as Powers of Attorney, Wills, etc.	Medical and Legal Documents, such as Powers of Attorney, Wills, etc. Highly Concerning	Medical and Legal Documents, such as Powers of Attorney, Wills, etc. Somewhat Concerning	Medical and Legal Documents, such as Powers of Attorney, Wills, etc. Slightly Concerning	Medical and Legal Documents, such as Powers of Attorney, Wills, etc. Not Concerning at all
Safe and affordable housing	Safe and affordable housing Highly Concerning	Safe and affordable housing Somewhat Concerning	Safe and affordable housing Slightly Concerning	Safe and affordable housing Not Concerning at all

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* 9. Where do you get information about services for older adults? Please select all that apply.

Word of mouth

Television

Radio

Health care provider

Senior/Community recreation center

Newspaper/newsletter

Internet

AARP

Older adult programs and services website

Do not receive information about senior services

Don’t know/Not sure

Thank you again for participating in this survey. Your opinions are important to the Area Agency on Aging of the Capital Area.

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100% of survey complete.

Community Needs Assessment Survey for 2021-2022 Area Agency on Aging of the Capital Area

Question Title

* 1. Which categories best describe you? (Please select all that apply.)

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* 2. Please select the county in which you live.

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* 3. Please list the zip code in which you live in?

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* 4. If you selected Service Provider in question #1, please select the county or counties in which your organization serves older adults and/or family caregivers. (If you are not a Service Provider, please skip to Question #5.)

Question Title

* 5. From the list below of most common services provided by Area Agencies on Aging, how would you RANK the IMPORTANCE of these services to older adults and family caregivers in your community? (1 being most important, 13 being least important)

Question Title

* 6. What are the top three needs to be addressed so that older adults can continue to live independently?

Question Title

* 7. If you are a family caregiver, what is the greatest challenge encountered in providing care for a loved one? (If you are not a family caregiver, please skip to question #8.)

Question Title

* 8. As an older adult, how concerning are each of the following issues?

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* 9. Where do you get information about services for older adults? Please select all that apply.

Community Needs Assessment Survey for 2021-2022
Area Agency on Aging of the Capital Area