Page 1 - PTSCC Survey

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* 1. PTSCC's (http://www.ptscc.org) mission is "To provide programs and services which support older adults and their families by encouraging independence, well-being, and connection to the community." Does this statement accurately communicate what PTSCC does and why?

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* 2. If you are familiar with PTSCC, what can we do to improve existing programs?

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* 3. PTSCC supports clients who reside in approx. 80 Chicagoland communities. What existing programs or activities would be helpful for you over the next 3 to 5 years?

  Very Interested Somewhat Interested Not Sure Not Interested
Benefits Access (Assessment/help with applying for senior entitlement programs)
Medicare Counseling
Supplemental Nutrition Assistance Program (SNAP)
Medicaid Counseling
Prescription Drug Counseling
Adult Day Services
Caregiver Support
Brain Health Programs
Meal Programs (on-site or home deliveried)
Chronic Disease Self Management Programs (please specify disease below)
Yoga Classes (ex. Laughter Yoga)
Golf League
Billiards
Book Club
On-site Games (ex. Bridge and other card games, mah jongg, etc.)
Line Dancing
Fitness/Exercise Classes

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* 4. Rate your interest in the following existing Group Travel options with various themes. Would you sign up for these kinds of opportunities?

  Very Interested Somewhat Interested Not Sure Not Interested
Adventure Trips (canoeing, hiking, bicycling, etc.)
Sporting Event Trips
Dinner Theater Trips
Comedy Show Trips
Trips to various Festivals
Illinois State Park Trips (bird watching, photography, quiet time, hiking, eating at Inns, picnics, park programs, etc.)
Arts/Culture Trips
Overnight travel (USA)
Overnight travel (overseas)
Gal Trips (women only)

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* 5. Please indicate you interest in participating in the following, potential new programs and activities.

  Very Interested Somewhat Interested Not Sure Not Interested
Current Event Discussions
Internet & Coffee Cafe
Center Acting Troupe
Center Choir
Center Musical Band
Center Dance Troupe
Guy trips (men only)

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* 6. Please indicate your preferred timing for the indicated types of services or activities.

  Day Time Evenings Weekends
Social Services Benefits Access and Counseling
On-site Recreation Activities
Support and Discussion Groups
Group Travel
Center Troupes, Band or Choir

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