Priorities and Needs Assessment for Older Adults, Individuals with Disabilities and their Caregivers in Connecticut
1.
"Aging well" means maintaining physical, mental, and social health and well-being as you get older. It involves making healthy lifestyle choices and prioritizing your well-being. What would you consider to be your greatest obstacle to Aging Well?
Financial constraints
Health issues
Lack of transportation
Limited social connections
Housing issues
Lack of employment opportunities
Inadequate caregiving support
Other
2.
What are the most important areas where you feel you need more support? (Select all that apply)
Healthcare
Transportation
Housing
Social Activities
Employment
Education/Training
Caregiving Support
Financial Assistance
Mental Health Services
Other
3.
Which of the following services do you currently use? (Select all that apply)
Home healthcare
Public transportation
Senior centers
Disability services
Meals on Wheels
Financial assistance programs
Support groups
Educational programs
Other
4.
Are there any specific programs or services that you wish were available to you?
5.
What do you think is the biggest challenge facing older adults and people with disabilities in Connecticut?
6.
How do you prefer to receive information about available programs and services?
Online
Printed materials
Community centers
Word of mouth
Social media
Email
Other
7.
What is your age group?
18-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
8.
What is your living situation?
Living alone
Living with spouse/partner
Living with family
Living in a care facility
Other
9.
Please provide any additional comments or suggestions you have regarding programs and services for older adults and people with disabilities in Connecticut.
10.
What town do you live in?