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* 1. Select the option that best describes you:

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* 2. Do you work or volunteer for an organization/business that provides programs or services for older adults in Lake County?

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* 3. If yes, which option best describes your role in the organization?

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* 4. How important are the following types of housing support services for older adults living in Lake County?

  Not Important Somewhat Important Very Important I don't know
Subsidized Senior Housing
Non-Subsidized Senior Housing
Home Repair
Home Modification
Indoor Home Maintenance
Outdoor Home Maintenance
Homemaker/Cleaning
Finding Housing
Assistance with Moving
Property Tax Assistance
Eviction Assistance

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* 5. How important are the following types of nutrition support services for older adults living in Lake County?

  Not Important Somewhat Important Very Important I don't know
Home Delivered Meals
Home Delivered Groceries
The Lunch Place (Congregate Meals)
Food Pantries
In-home assistance with cooking meals
A way to learn about nutrition for specific conditions (i.e. diabetes, high blood pressure)

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* 6. How important are the following types of transportation support services for older adults living in Lake County?

  Not important Somewhat Important Very Important I don't know
Laketran Public Transportation Fixed Routes
Laketran Dial-a-Ride Services
Private Transportation Services
Ride Share Services (i.e. Uber, Lyft)
Bike Lanes or Paths

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* 7. How important are the following types of behavioral health support services for older adults living in Lake County?

  Not Important Somewhat Important Very Important I don't know
Mental Health Screenings
Mental Health Counseling
In-person Support Groups
Virtual Support Groups
Substance Use Disorder Services
Adult Protective Services (for reporting and responding to suspected abuse, neglect and exploitation)
Hoarding Services
Programs aimed at addressing loneliness and isolation (i.e. Phone Pal, Friendly Visitor)

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* 8. How important are the following types of health and wellness support services for older adults living in Lake County?

  Not Important Somewhat Important Very Important I don't know
Falls Prevention
Chronic Disease Self-Management Courses
Outdoor Walking Paths
Smoking Cessation
Tele-health Appointments
Visiting Physicians/Nurses
Exercise Classes for Older Adults

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* 9. How important are the following types of communication support services for older adults living in Lake County?

  Not Important Somewhat Important Very Important I don't know
Internet Connectivity at Home
Access to Internet in Public Spaces
In-person Assistance with Technology
Internet Safety Class
Printed Information
Ability to Recieve Information by Phone

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* 10. How important are the following types of aging related support services for older adults living in Lake County?

  Not Important Somewhat Important Very Important I don't know
Senior Centers
Adult Day Care
Respite Services
Memory/Dementia Programs
Caregiver Support
Emergency Preparedness Planning
Benefits Counseling
Social Work Services
Scam Awareness

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* 11. What types of programs or services for older adults that currently exist in Lake County would you like to see continued or expanded?

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* 12. What types of programs or services for older adults that do not currently exist in Lake County would you like to see started?

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* 13. What are three words you would use to describe Senior Centers in Lake County?

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* 14. How important is it that Senior Centers in Lake County provide the following:

  Not Important Somewhat Important Very Important I don't know
Meals
Social Activities
Fitness Activities
Continuing Education Programs
Legal Guidance/Services
Arts Programming
Transportation
Group Outings
Service Referrals
Case Management
Technology Assistance or Classes
Intergenerational Programming

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* 15. If you had a magic wand, what changes would you make in Lake County to create an ideal place for people to age?

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