THANK YOU for taking the time to complete this survey. We value your input on the needs of the community to help you live safely, confidently, and age well in the environment of your choice.

Your responses will influence how federal and state dollars are distributed and prioritized among programs and services for older adults, individuals with disabilities, and caregivers. Please answer all of the questions the best you can.

This survey should take 15 - 20 minutes to complete. If you have any questions or would like additional information on available services, please contact:
The Senior Alliance
5454 Venoy, Wayne, MI 48184
Call us at: 734-727-2058
Visit our website: www.thesenioralliance.org

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* 1. Do you have access to the Internet in your home?

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* 2. How often do you use email?

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* 3. As an Area Agency on Aging we strive to maximize the state and federal funding we receive to help older adults live, age, and grow. To effectively do so, we have to prioritize available services.

Rate how useful the services below are to people your age and their families by: 
Most useful or currently use
May be useful in the FUTURE but NOT RIGHT NOW
NOT useful

 
Adult Day Program (daytime social program that also provides a break for caregivers)
Caregiver Education Workshops
Information & Assistance Call Center (information on community resources)
Legal Services (advice or basic legal documents)
Food Services (including home delivered meals on wheels and congregate meals)
Elder Rights and Fraud/Abuse Education
Health & Wellness Workshops (falls prevention &; diabetes education)
Minor Home Safety Modifications & Repairs (including ramps and grab bars)
Medicare &Medicaid Benefit Enrollment Information
Senior Center Provided Activities
Daily Friendly Check-in Calls
In-Home Medical Services or Personal Care
In-Home Non-Medical Services (housekeeping, laundry indoor chores)
Transportation Service to Medical Appointments and Government Offices

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* 4. Which of the following apply to you? Check all that apply.

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* 5. How do you prefer to receive information about services and resources? (select one)

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* 6. How confident are you in knowing where to turn for information on available services or programs for older adults? (choose the best answer)

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* 7. What gender do you identify with?

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* 8. What city/township do you live in?

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* 9. What age group are you in?

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* 10. How do you get information about news and events in your community (pick top two)?

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* 11. Thinking about the last 6 months, how often have the following statements been true?

 
My family, friends, or caregiver help me with daily tasks
I have talked with family or friends by video or phone
I am able to engage with others in a social setting
I have had a doctor appointment by video or Telehealth
I have felt isolated
I have gone hungry at least once
I have felt lonely
I have felt nervous, on-edge, or anxious
I have felt down, hopeless, or depressed

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