Older Adult Activity Survey Question Title * Thank you for taking the City of Gallatin’s Older Adult Activity Survey. Your program is valuable to seniors in Gallatin. The Senior Roundtable, a volunteer committee of local professionals who care about seniors, wants to share information with seniors and caregivers to make Gallatin a more senior-friendly environment.“We’re so lucky to be surrounded by many caring people and programs for seniors, but finding trusted faces and names for services right here in Gallatin isn’t easy. With your information, we’re getting one-step closer to making Gallatin the ‘Nicest Place in America’ for seniors.”Gallatin Mayor Paige Brown Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * Please check the box if you give your consent to share this information in a public directory. Yes, please list our organization No, please don't list our organization OK Question Title * What programs or activities do you have that is primarily directed toward older adults in your organization? Check all that apply. Accessible Building (ADA/Handicap) with Ramp or Elevator Accessible Restrooms A moderate amount of impact Adult Day Care Book Club Caregiver Support Community Service Opportunities Exercise & Fitness Classes Fellowship Meals Financial Support (for paying bills, medication, rent, etc.) Food Pantry Frauds & Scams Awareness Game Day (board games, cards, bingo) Homemaker Assistance (for cooking, sewing, letter writing, etc.) Lunch & Learn Program – Weekly or Monthly Marriage Enrichment Classes/Retreat for Retired Couples Medical Equipment Loan Minor Home Chore Service Minor Home Repair and Maintenance (for painting, plumbing, carpentry, etc.) Respite Care Assistance Service Provider “Preferred List” Technology Education (for cell phone, laptops, etc.) Telephone Reassurance (reminder and check-in calls) Travel Opportunities and Day Trips Transportation Visitation Program Widow/Widower Support Other (please specify) OK Please Return Completed Survey by February 14 (Valentine’s Day) OK DONE