Skip to content

West of 50 Needs Assessment Survey 2025

1.Age range
2.Gender Identity
3.What are your current challenges?
4.Of the above challenges, what are your top 3 concerns? (Rank 1-3, which 1 being greatest concern)
5.Employment Status
6.Are you looking for work?
7.If you are looking for employment, please mark the services you would utilize
8.For each item below, select the level of concern that applies to you
Serious Problem
Moderate Problem
Not a Problem
Does Not Apply
Availability of job training opportunities
Availability of jobs for older adults
Seeking employment with a criminal record
Resume writing
Online job searching
Interview Preparation
9.Do you eat fewer than 2 meals per day?
10.Do you eat little to no fruits or vegetables?
11.Do you have tooth or mouth problems that make it hard to eat?
12.Do you have enough money to buy the food you need?
13.Without trying, have you gained or lost 10 lbs in the last six months?
14.Are you able to go to the grocery store?
15.Are you able to cook for yourself?
16.Please place a checkmark on the following community resources that you currently utilize:
17.Do you need assistance accessing food resources?
18.Current living situation
19.Do you currently access public housing support?
20.Do you struggle with paying your utility bills?
21.Are you considering moving into an older adult community?
22.For each item below, select the level of concern that applies to your household:
Serious Problem
Moderate Problem
Not a Problem
Does Not Apply
Elderly living assistance (55+)
Housing
House cleaning services
23.What is your most used mode of transportation?
24.What are the biggest challenges you face when trying to navigate the city?
25.Do you have trouble finding transportation options?
26.Are you aware RTD has services for older adults?
27.Have you ever used RTD's SeniorShopper program?
28.Do you need assistance navigating RTD?
29.For each item below, select the level of concern that applies to you:
Serious Problem
Moderate Problem
Not a Problem
Does Not Apply
Cost of living
Income/wages
Debt
Financial security
Availability of financial services
Availability of financial counseling
Accessing online banking systems
30.Do you need assistance with budgeting?
31.Please place a checkmark on the benefits you currently receive:
32.Do you have a disabling condition?
33.Do you have a physical disability?
34.Do you have a chronic health condition?
35.Do you have a developmental disability?
36.Have you been diagnosed with AIDS or are you HIV positive?
37.Do you feel that you have a mental health disorder?
38.Do you have a drug or alcohol disorder?
39.For each item below, select the level of concern that applies to you:
Serious Problem
Moderate Problem
Not a Problem
Does Not Apply
Substance abuse services
Mental health
Loneliness
Domestic violence
Food Insecurity
Physical and emotional safety
Medical care
Availability of healthcare
40.What prevents you from accessing resources? Check all that apply.
41.What would make accessing resources easier for you?
42.What type of support or services would you benefit from most?
43.Do you prefer in-person, online, or hybrid services
44.What additional resources or support do you wish were available in your community?
45.Is there anything else you'd like to share about your needs or experiences?