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* 1. How many times in the last 12 months have you used any of the following services

  Never Once Twice Three times Four or more times
Attended a 50+ Center
Attended social lunch at a 50+ Center or had a home delivered meal
Used the Loan Closet
Contacted the Maryland Access Point (MAP) for information, referral or assistance
Attended the 50+ EXPO
Attended Caregiver Conference or received caregiver services
Received health insurance counseling (SHIP program)
Used the Howard County public library system
Attended or participated in programming through Recreation and Parks Department

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* 2. Please rate the following services for older adults in terms of how much of a priority they should be for the County

  Highest Priority High but not Highest Moderate Priority Low Priority Not a Priority
Provide information and referral system to help direct people to services
Increase socialization opportunities
Increase transportation options
Increase health education classes and trainings
Increase availability of mental health and substance abuse services
Provide healthy meals for those that are homebound
Assist with safe and affordable housing options (home modifications, guidance on housing options, advocacy)
Provide respite care and other caregiver services
Increase volunteer opportunities
Increase employment opportunities for older adults

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* 3. Overall, how satisfied are you with the performance of the Office on Aging and Independence (OAI) over the last 12 months

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* 4. What is your current age

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* 5. What is your gender:

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* 6. What is your race / ethnicity (please check all that apply):

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* 7. What is your household income:

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* 8. What is the nature of your current living arrangement (check all that apply)

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* 9. What is the zipcode where you live:

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* 10. We would greatly welcome any suggestions or feedback you would like to offer to the Office on Aging and Independence (OAI).  Any feedback will be considered by the Office and held in confidence. 

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