2025 Community Needs Assessment
1.
Where do you live?
Avalon
Cape May
Cape May Point
Dennis Township
Lower Township
Middle Township
North Wildwood
Ocean City
Sea Isle City
Stone Harbor
Upper Township
West Cape May
West Wildwood
Wildwood
Woodbine
2.
Age range:
Under 60
60-74
75-84
85-94
95 or Older
3.
Are you or your spouse a Veteran?
Yes, I am a Veteran
No
Spouse is a Veteran
4.
How difficult is it for you to:
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Find information on available services
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Find transportation to doctors/medical appointments
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Address your personal needs (bathing, dressing, etc.)
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Prepare your daily meals
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Clean your home
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
5.
How difficult is it for you to:
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Being able to afford heat or other utilities
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Handle your own money and/or paying your bills
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Maintain home (shoveling, mowing, small repairs, etc.)
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Afford medications
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Manage medications (preparing/taking)
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
6.
How difficult is it for you to:
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Understand and complete health insurance or Medicare forms
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Provide care for another person as a caregiver
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Stay connected with friends and family
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
Obtain legal advice or assistance
No Help Needed
Getting All the Help Needed
Getting Some of the Help Needed
Not Getting Any of the Needed Help
N/A
7.
Gender:
Male
Female
8.
Marital Status:
Married
Widowed
Single
Seperated
Divorced
9.
I live:
Alone
With Spouse/Partner
Child(ren)/Relative
10.
Which best represents your race:
Asian or Pacific Islander
Black or African American
Native American
White
Other
11.
Are you Hispanic or Latino?
Yes
No
12.
Annual income:
Under $15,650
$15,651- $23,474
$23,475- $28,952
Over $28,953
13.
I attend a Senior Center/Nutrition site:
Yes
No
14.
Which center do you attend?
Lower Cape Senior Center
North Wildwood Senior Center
Upper Township Senior Center
Other
N/A
15.
What is your preferred source of information? (check all that apply)
Internet
Newspaper
Social Media (Facebook, Instagram)
Senior Center
Doctors Office
Word of Mouth
Social Service Agency
211
Television
Radio
Library
Other (please specify)
16.
Check which services you feel are the top 5 critical needs in the community:
Adult/Medical Day Care
Care Management (Social workers develops a plan for coordinated service)
Caregiver Services (Respite, support groups, counseling, education, etc. for caregivers)
Drug and Alcohol Abuse Programs
Elder Abuse/Adults Protective Services
Exercise Programs
Gambling Addiction Programs
Grocery Shopper Service (for individuals who are physically unable)
Health Education
Home Delivered Meals/Meals on Wheels
Housekeeping
Information Assistance/Application to Programs
Insurance Questions/Medicare Counseling
Legal Assistance
Medical Alert
Mental Health Services (Assistance with anxiety, depression, stress, etc.)
Minor Home Repair
Nutrition Education and/or Counseling
Oral Health (Screening, assessment, and treatment)
Senior Centers/Congregate Nutrition
Socialization & Recreation Activities
Smoking Cessation Programs
Telephone Reassurance, "How are you today?"
Transportation
17.
Please provide any additional comments, suggestions, or ideas:
