Part 1: Background Information
The Area 12 Agency on Aging and the Area 12 Advisory Council, are conducting a Community Needs assessment regarding the needs of older adults in Alpine, Amador, Calaveras, Mariposa, and Tuolumne Counties.

The target audience for this assessment is age 50+, adult caregiver age 18+ caring for person age 60+, relative age 55+ caring for grandchildren and a resident of Alpine, Amador, Calaveras, Mariposa or Tuolumne Counties. Submit survey by September 30, 2019. This survey is anonymous.

Question Title

* 1. What is your age group?

Question Title

* 2a. What is your ethnicity

Question Title

* 2b. What is your race?

0 of 69 answered