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* 2. What is your age group?

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* 3. What is your gender?

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* 4. Please tell us more about where you live?

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* 5. Have you ever heard of, or used, any of the following services offered by Seniors Serving Seniors?

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* 6. How do you prefer to communicate with a senior serving organization?

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* 7. Which of the following services do you currently use, or might you use in the next year? Please pick all that apply.

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* 8. How does your ability to pay the cost of a service factor into your decision to use that service? e.g home cleaning

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* 9. Health and Wellbeing: Please tell us how satisfied you are with the following items:

  The range of health services available to you in your community The delivery of health and support services is coordinated and simple Health and social services are conveniently located
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied

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* 10. Housing and Transportation: Please tell us how you feel about the following items:

  The range of affordable housing options available to you in your community  Transportation options are adequate for your needs Transportation options are affordable
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied

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* 11. Social Activities: Please tell us how you feel about the following items:

  There are enough social activities available to you in your community These activities are accessible and affordable? The social activities that are  available meet your interests and goals
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied

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* 12. Support Services: Please tell us how you feel about the following items:

  There are enough support services available to you in your community Support services are accessible and affordable The services and amenities available to seniors in your community meet your needs and goals
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied

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* 13. Financial Support Services and Fraud Prevention: Please tell us how you feel about the following items:

  Financial assistance programs available to me in my community Fraud and scammer protection services available to me in my community Information about ways I can protect and enhance my financial security
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied

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* 14. Please share more about any challenges or obstacles so that we can explore options and better meet specific needs. Alternatively, please share more about systems or services that are working well?

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