Maui County Office on Aging - Older Adult Survey 2022

The Maui County Office on Aging is gathering community input to develop the new 4-yr Area Plan on Aging (2023-2027). This survey is one opportunity for Maui County older adults (55 yrs and up) to share their opinions to develop, maintain, or change services in the county. All responses are anonymous.

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1. What is your Post Office zip code?

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2. What is your age?

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3. What is your gender identity?

Male

Female

Other (please specify)

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4. What town do you live in?

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5. Where do you live?

Own Home

Rent apartment or room

Subsidized housing project/program (Sec 8, Hale Mahaolu, etc.)

Other (please specify)

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6. Who do you live with? Select all that apply.

Alone

With Spouse or Partner

With children

With other relatives

With non-relatives (e.g. friends, etc)

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7. What is your annual personal (not household) income?

Less than $5,000

$5000-$10,000

$10,001-$50,000

$50,001-$100,000

More than $100,000

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8. What is your race/ethnicity? (select all that apply)

American Indian or Alaska Native

Hawaiian

Samoan

Black or African American

Hispanic or Latin

Tongan

Caucasian or White

Japanese

Vietnamese

Chinese

Korean

Filipino

Marshallese

Prefer Not to answer

Other (please specify)

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9. Is English our primary language?

Yes

No- Other (please specify)

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10. Are you currently employed?

Yes- part time

Yes- full time

Describe type of work done

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11. What are your modes of transportation? Check all that apply.

I drive

MEO Bus

MEO Paratransit

Maui county bus

Wheelchair/Scooter

Kaunoa Transportation

Rides offered by volunteer

Rides provided by family and/or friends

Other (please specify)

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12. Have you heard about the Maui County Office on Aging?

Yes

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13. Over the last 12 months, how would you rate or describe your overall health?

Poor

Not Very Good

Good

Very Good

Excellent

Poor

Not Very Good

Good

Very Good

Excellent

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14. Do you have a physical or mental disability?

Yes

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15. Are you concerned about developing or having to deal with dementia and/or cognitive changes?

Yes

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16. Do you have a completed an Advance Health Care Directive (living will)?

Yes

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17. Have you had to remodel/renovate your home to make it more age-friendly (e.g. install grab bars, ramps, improve lighting?)

Yes

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18. Do you volunteer?

Yes. Where at and what do you do?

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19. Over the past year, please check of the following if you have received, currently use or participate in the following services for older adults. Check all that apply.

Information and Referral Services

Case management/Social Work services

Friendly Visiting Program

Telephone Reassurance- phone calls by volunteers

Caregiving Counseling- individual or group

Transportation services

Congregate meals/dining

Home delivered meals

Homemaker services- housekeeping, light meal prep, laundry help

Personal care- bathing, grooming, dressing

Respite services- break or relief from caregiving

Any Volunteer program- opportunities to serve for 55 yrs+

Legal Assistance services- Education, counseling, guardianship, public benefits, power of attorney, health care directive

Adult Day Care/ Day Health

Any Activity Program- social, educational and health activities at senior centers

I didn't receive or participate in any of the abovenamed services/programs

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20. Are you satisfied with the services you receive or the programs you have participated in?

I do receive services but someone else pays for it otherwise I couldn't afford to pay on my own

Yes- please list them here.

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21. If you are not satisfied with the services and/or programs, can you suggest ideas of improvement?

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22. If you are over the age of 60 and have not used services, what is/are the main reasons for not using them? (Check all that apply.)

I don't know what is available.

I cannot afford to pay out of pocket.

I applied but was denied.

Services are not available during the times I need them.

I don't want outsiders coming into my home.

I don't know how to get information.

I don't feel I need the services.

This question doesn't pertain to me because I am under 60 years of age.

Other (please specify)

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23. From the list below, please check five (5) of the services that you feel are important to you and other older adults in Maui County.

Information about Services

Transportation

Homemaker/housekeeper

Bathing

Adult Day care/Day Health

Home repair/renovation

Retirement planning

Housing

Health prevention/promotion activities

Medication management

Leisure activities

Volunteer activities

Home safety

Help with Caregiving

Financial/Money Management

Meals (Home delivered or Congregate Dining)

Legal Assistance

Senior employment

Maui County Office on Aging - Older Adult Survey 2022

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* 1. What is your Post Office zip code?

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* 2. What is your age?

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* 3. What is your gender identity?

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* 4. What town do you live in?

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* 5. Where do you live?

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* 6. Who do you live with? Select all that apply.

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* 7. What is your annual personal (not household) income?

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* 8. What is your race/ethnicity? (select all that apply)

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* 9. Is English our primary language?

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* 10. Are you currently employed?

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* 11. What are your modes of transportation? Check all that apply.

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* 12. Have you heard about the Maui County Office on Aging?

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* 13. Over the last 12 months, how would you rate or describe your overall health?

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* 14. Do you have a physical or mental disability?

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* 15. Are you concerned about developing or having to deal with dementia and/or cognitive changes?

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* 16. Do you have a completed an Advance Health Care Directive (living will)?

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* 17. Have you had to remodel/renovate your home to make it more age-friendly (e.g. install grab bars, ramps, improve lighting?)

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* 18. Do you volunteer?

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* 19. Over the past year, please check of the following if you have received, currently use or participate in the following services for older adults. Check all that apply.

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* 20. Are you satisfied with the services you receive or the programs you have participated in?

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* 21. If you are not satisfied with the services and/or programs, can you suggest ideas of improvement?

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* 22. If you are over the age of 60 and have not used services, what is/are the main reasons for not using them? (Check all that apply.)

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* 23. From the list below, please check five (5) of the services that you feel are important to you and other older adults in Maui County.

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* 24. What issues do you feel need to be better addressed when it comes to 'aging-in-place' in Maui County? What ideas or solutions do you propose?

1. What is your Post Office zip code?

2. What is your age?

3. What is your gender identity?

4. What town do you live in?

5. Where do you live?

6. Who do you live with? Select all that apply.

7. What is your annual personal (not household) income?

8. What is your race/ethnicity? (select all that apply)

9. Is English our primary language?

10. Are you currently employed?

11. What are your modes of transportation? Check all that apply.

12. Have you heard about the Maui County Office on Aging?

13. Over the last 12 months, how would you rate or describe your overall health?

14. Do you have a physical or mental disability?

15. Are you concerned about developing or having to deal with dementia and/or cognitive changes?

16. Do you have a completed an Advance Health Care Directive (living will)?

17. Have you had to remodel/renovate your home to make it more age-friendly (e.g. install grab bars, ramps, improve lighting?)

18. Do you volunteer?

19. Over the past year, please check of the following if you have received, currently use or participate in the following services for older adults. Check all that apply.

20. Are you satisfied with the services you receive or the programs you have participated in?

21. If you are not satisfied with the services and/or programs, can you suggest ideas of improvement?

22. If you are over the age of 60 and have not used services, what is/are the main reasons for not using them? (Check all that apply.)

23. From the list below, please check five (5) of the services that you feel are important to you and other older adults in Maui County.

24. What issues do you feel need to be better addressed when it comes to 'aging-in-place' in Maui County? What ideas or solutions do you propose?