Instructions for completing the Aging State Plan Survey
Thank you for taking the time to complete this survey. Your input is very important!

Every four years the State is required by the Older Americans Act, to develop a strategic plan for its aging citizens, in order to receive funding for the vital local services, such as transportation, elder abuse, the Ombudsman program and other programs covered under that Act. Therefore, as part of the needs assessment gathering process, information gathered by this survey, along with information gathered in other forums, will provide vital insight to identifying  the needs and issues facing aging Arizonans and their caregivers, moving forward for the years 2019 through 2022.

The survey should only take about 5 minutes to complete. 

1. What is your gender?

2. What is your age?

3. What is your Arizona zip code?

4. Which of the following best describes your ethnicity?

5. Please select the option that best describes your living arrangement.