SAGE Upstate Participation Survey

SAGE is trying to learn more about the effect of social connection, and how it may enhance what people get from the program, whether it's health information, physical activity, or socializing. With support from Excellus, we offer this survey as a way of getting feedback about our programs.


You don’t have to answer every question, but we do need your name and contact info. We might want to reach out for more information.


We will not report on any individual information. Our reporting will be on group trends only.


Your name and information will not be shared with any organization, business or individual outside of SAGE Upstate.


If you'd rather fill out a paper copy of this survey, contact Leslie at 315-478-1923 or llamb@sageupstate.org.


Complete a survey and dinner's on us! We'll treat survey recipients to a meal where we'll share our findings and lead a discussion about how we might apply what we've learned for programs in 2026

We thank Excellus for making this project possible.
1.Please provide us with your name.(Required.)
2.Please share your contact info (email address or phone number). We will use this to update the information we have for you.(Required.)
3.Please check the box that best describes your gender identity.
4.Please check the box that best describes your race/ethnicity.
5.Please check the box that best describes your sexuality.
6.In what year were you born?
7.Are you in a relationship?
8.Do you live alone?
9.Please provide the county where you live.