Idaho Area V Agency on Aging Needs Assessment

The Area V Agency on Aging is funded by the Administration for Community Living (ACL) and the Idaho Commission on Aging. Area V Agency on Aging is asking for feedback to enhance and improve senior services in Bannock, Bingham, Power, Bear Lake, Franklin, Caribou and Oneida Counties.

Idaho's Area V Agency on Aging helps coordinate and offer supportive services to assist older adults to remain living independently and engaged in their communities. These supportive services are offered in collaboration with numerous community partner organizations that can respond to the needs of adults as they age, quickly and efficiently.

The needs assessment is available online or in a paper format. To request a paper copy of the assessment, you may contact AAA staff at (208) 233-4032 or 1-800-526-8129

Your responses are anonymous. The deadline to return/complete the questionnaire is February 5, 2021 and results will be posted on the Area Agency on Aging’s website at www.sicog.org in the coming months. If you have questions, you can contact Mike Hirschi at (208) 233-4032, 1-800-526-8129 or by email at mike@sicog.org.

Question Title

* 1. What county do you live in?

Bannock

Bear Lake

Bingham

Caribou

Franklin

Oneida

Power

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* 2. What city do you live in?

Aberdeen

American Falls

Blackfoot

Chubbuck

Downey

Lava Hot Springs

Malad

Montpelier

Pocatello

Preston

Shelley

Soda Springs

Stone

Other (please specify)

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* 3. What is your gender?

Male

Female

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* 4. What is your age?

49 or younger

50-59

60-69

70-79

80-89

90-99

100+

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* 5. Are you a veteran?

Yes

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* 6. Are you the spouse of a Veteran?

Yes

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* 7. Which of the following best describes you?

Asian or Pacific Islander

Black or African American

Hispanic or Latino

Native Indian or Alaska Native

White or Caucasian

Multiracial or Biracial

A race/ethnicity not listed here

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* 8. Are you: Please select one.

Widowed

Divorced

Single

Married

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* 9. Is your monthly income: Please select one.

Below $1,063 per month

Between $1,064 and $1,276

Between $1,277 and $1,488

Between $1,489 and $1,700

Between $1,701 and $1,913

Above $1,914

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* 10. How many people, including yourself, live in your household

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* 11. Who lives with you? Check all that apply

Spouse

Significant Other/Partner

At least one child

Child(ren) and his/her/their family

Other relative(s)

Unrelated adults/friends

Grandchildren/Great-Grandchildren

Father

Mother

Live by myself

Other (please specify)

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* 12. What is your employment status

Working full-time

Working part-time (semi-retired)

Retired

Not employed at this time