Survey of Vermonters Age 60 and Older

The Vermont Department of Disabilities, Aging, and Independent Living (DAIL) wants to learn about older Vermonters' needs and aspirations to plan how best to serve Vermonters as we age.

This survey can be completed by anyone 60 or older who lives in Vermont. All answers are confidential and anonymous.

Please complete by September 27, 2024.

For questions about the survey, contact your Area Agency on Aging.

For questions about how the survey results will be used, contact Jason Pelopida, DAIL State Unit on Aging Director, at jason.pelopida@vermont.gov

6.Which of the following best describes your financial situation?

 I have enough money to pay expenses, with extra in case of unexpected bills

 I have just enough to pay expenses, nothing left over

 I do not have enough to pay all expenses, so must choose what to pay

7.Falling is a risk factor for injury as we age. Have you taken any steps to reduce your risk of falling? For example: check vision, make changes in home (e.g., securing rugs, rearranging furniture), talk to health care provider to reduce risk of falling.

 Yes

 Not yet, have been thinking about it

 No, have not thought about it

9.In the past year, how often have you worried whether your food would run out before you got more?

 Never

 Sometimes

 Often

11.Do you provide unpaid assistance to spouse, family member or friend? For example, help with housework, cooking, transportation, dressing, bathing, managing money, etc. (Check all that apply)

 No

 Yes, the person I care for has Alzheimer’s or other type of dementia

 Yes, the person I care for has other conditions that require help

12.What year were you born?

13.What is your zip code?

14.What was your total household income last year?

15.Who lives with you? (Check all that apply.)

 I live alone

 Spouse/life partner

 One or more of my children/grandchildren/other relatives

 Other adults (for example, roommate)

16.What is your gender?

 Male

 Female

 Transgender

 Decline to state

18.Do you consider yourself to be Hispanic or Latino?

Yes

19.How would you describe yourself? (Check all that apply.)

 White

 Black or African American

 American Indian, Alaskan Native

 Asian American

Other, describe: