Aging Services Survey 2020

Flathead County Agency on Aging (FCAA) needs your help to determine how we can best meet the needs of older adults in our communities, especially in times of public health emergencies or natural disasters.

Please take a few minutes to complete this survey of 12 questions,

and be assured that your answers are completely confidential.

Submit your survey by July 10th to be in to win one of five $25 gift cards!

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* 1. How would you rate your level of anxiety caused by the pandemic?

Very HIgh

High

Moderate

Low

Very Low

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* 2. What have been your biggest concerns or worries during the stay-at-home order? (Check all that apply)

Catching the virus

A disruption in my regular medical care

Buying groceries

Getting prescriptions refilled

Eating meals regularly

Finding scarce supplies like toilet paper, hand sanitizer or face masks

Accessing care and/or grooming for my pet(s)

Lack of social connection

Lack of physical activity

Lack of mental stimulation

Being able to pay my bills and cover basic expenses

Loneliness, anxiety or depression

The health and wellbeing of family or friends

Other (please specify)

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* 3. Do you know who to contact for help with the concerns you have listed above?

Yes

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* 4. If you normally get help with daily activities such as preparing food, errands or doing laundry and other household chores, who do you receive help from:

Your spouse/partner or other family member who you live with

A family member or friend that does not live with you

A paid caregiver

Someone else

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* 5. Has the help you normally receive for daily activities been interrupted due to the coronavirus pandemic?

Yes

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* 6. As a result of the Stay-at-Home order, have/had you newly begun helping care for someone else, or increased the amount of care or support you were already providing to someone else? If so, please indicate who you are caring for (check all that apply):

Grandchild/grandchildren

Parent or other older relative

Older friend or neighbor

I would be interested in learning about resources and supports for caregivers

Other (please specify)

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* 7. During the time you've been sheltering at home have you used technology (e.g. computer, tablet, or smartphone) to help you stay (check all that apply):

Informed and up-to-date on local, state, and/or national news

Connected socially

Connected with medical provider (telehealth)

Mentally active and stimulated

None of the above-I don't use technology at home

None of the above-but I would be interested in being able to use technology at home

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* 8. Did you have an emergency plan in place prior to the pandemic, which has helped you to cope with this crisis?

Yes

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* 9. To prepare for a future event like a pandemic or natural disaster, would you be interested in a free, personalized emergency preparedness assessment and plan, sponsored by the Flathead County Agency on Aging?

Yes

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* 10. Your age group is:

49 years of age or under

50-64 years of age

65-74 years of age

75-84 years of age

85 years of age or over

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* 11. The number of individuals living in your household including yourself:

3 or more

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* 12. Your monthly household income is:

$1,595 or below

$1,596-$2,657

$2,658-$3,189

$3,190 or above

Thank you very much for taking your valuable time to assist the Flathead County AOA with this survey. Your input will help us identify and address social services, information and assistance that will help you through emergency situations such as pandemics or natural disasters.

If you have questions regarding the survey, or for more information about any of our services such as caregiver support, please call us at 758-5730.

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* 13. Would you like to be entered in the prize drawing? If so, be sure to include your name and contact details below.

Name

Email Address

Phone Number