Almost one in every 12 seniors above 60 is considered food insecure.  Nutrition plays a major role in the quality of life for an aging adult, including physical, mental and social health.  The Jayhawk Area Agency on Aging is conducting this survey in our three county planning and service area (Jefferson, Douglas, and Shawnee) to determine prevalence of food insecurity for seniors and assist with development of programs and services related to the nutrition needs of individuals age 60 and older. Your responses are confidential and only group data will be reported.

* 1. Please respond yes or no

  Yes No
Do you eat less than 2 meals daily?
Do you eat less than 2 servings of fruits and vegetables daily?
Do you eat less than 2 servings of dairy products (milk, cheese, yogurt, etc.) daily?
Do you usually drink less than 6 glasses of water, milk, or juice daily?
Do you drink 3 or more alcoholic beverages daily?
Do you take 3 or more different prescriptions and/or over-the-counter drugs daily?
Do you have problems with dentures, teeth, or mouth, which make it hard to eat?
Have you made changes in the kind and/or amount of food you eat because of an illness and/or condition?
Are you physically not always able to grocery shop, cook, and/or feed yourself?
Do you eat alone most of the time?
Do you usually not have enough money to buy the food you need?
Have you unintentionally gained or lost more than 10 pounds in the last 6 months?
Do you consider yourself home-bound? Meaning it is a taxing effort to leave your home.
Do you live alone?

* 2. Is cost an issue in choosing overall food options?

* 3. In the last 12 months have you ever cut the size of your meals or skipped meals due to not having enough money for food?