State Plan on Aging Survey

Purpose

Dear South Dakota Survey Participant,

This survey was developed to better understand older individuals and their future needs as they age in South Dakota. Your answers to this survey will help guide the development of the 2021 – 2025 SD State Plan on Aging, and increase the understanding of how best to serve, support, and celebrate older adults across our great state.

We invite you to complete the South Dakota State Plan on Aging Survey. We also invite you to encourage your friends and neighbors to complete the survey for themselves. Survey responses will be collected from participants across the state until December 31, 2020.

Thank you for your time and contribution. We value your opinion and greatly appreciate your participation in the South Dakota State Plan on Aging Survey!

Sincerely,

The SD Division of Long Term Services and Supports

Question Title

* 1. What is your current employment status?

Fully retired

Working part-time

Working full-time

Volunteer

Unemployed

Homemaker

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* 2. Who lives in your household? Check all that apply.

Just me

My spouse or partner

Parent

Sibling

One or more adult grandchildren

One or more grandchildren under age 18

One or more adult children

Roommates or renters

One or more friends

Other

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* 3. Thinking about your future needs, how would you rate your community as a place to live for people as they age?

Excellent

Very Good

Good

Fair

Poor

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* 4. What would make healthy aging in South Dakota better or easier for you?

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* 5. Do you visit your local Senior Center?

Yes, at least monthly

Yes, on occasion

No, but I would like to

No, I am not interested

No, there is no Senior Center in my community

Question Title

* 6. What community activities do you participate in? Check all that apply.

Library

Parks and Recreation Department

Church or Religious Affiliation

Health Club or Gym

Golf Club/Golfing

Veteran Service Organizations (Veterans of Foreign Wars, American Legion, Disabled American Veterans or Other)

Lions Club, Mason’s, Knights of Columbus

YMCA/YWCA

Community Committee (Historic District, Performing Arts, other)

Volunteering at an organization (such as hospital, nursing home, animal shelter, or other)

Community Center in a neighboring community

Other

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* 7. Do you provide unpaid caregiving support weekly for any of the below individuals? Check all that apply.

No, I do not provide any caregiving supports to others

Yes, I care for a grandchild, great-grandchild or step-child under the age of 18

Yes, I care for an older adult that is not a member of my family

Yes, I care for a person with a disability

Yes, I care for my spouse/partner/other family member

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* 8. If you answered “yes” to the above caregiving question, what are your top needs as a caregiver? Check all that apply

Respite

Support Groups

Information and Referral

Funds for clothing, incontinence supplies, food, home modifications or other items

Funds for prescription deductibles and co-pays

Education about your loved one’s diagnoses and care requirements

Transportation assistance

Other

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* 9. Please rate the importance of the following concerns based on how much you think they affect you, as you age in the community.

	Very Important	Somewhat Important	Not Important	Not Sure/Does Not Apply
Access to healthcare	Access to healthcare Very Important	Access to healthcare Somewhat Important	Access to healthcare Not Important	Access to healthcare Not Sure/Does Not Apply
Financial security	Financial security Very Important	Financial security Somewhat Important	Financial security Not Important	Financial security Not Sure/Does Not Apply
Maintaining physical health	Maintaining physical health Very Important	Maintaining physical health Somewhat Important	Maintaining physical health Not Important	Maintaining physical health Not Sure/Does Not Apply
Fuel Costs	Fuel Costs Very Important	Fuel Costs Somewhat Important	Fuel Costs Not Important	Fuel Costs Not Sure/Does Not Apply
Transportation	Transportation Very Important	Transportation Somewhat Important	Transportation Not Important	Transportation Not Sure/Does Not Apply
Having enough food to eat	Having enough food to eat Very Important	Having enough food to eat Somewhat Important	Having enough food to eat Not Important	Having enough food to eat Not Sure/Does Not Apply
Respite care	Respite care Very Important	Respite care Somewhat Important	Respite care Not Important	Respite care Not Sure/Does Not Apply
Support for caregivers	Support for caregivers Very Important	Support for caregivers Somewhat Important	Support for caregivers Not Important	Support for caregivers Not Sure/Does Not Apply
Safety during emergencies such as power outages, snowstorms, or floods	Safety during emergencies such as power outages, snowstorms, or floods Very Important	Safety during emergencies such as power outages, snowstorms, or floods Somewhat Important	Safety during emergencies such as power outages, snowstorms, or floods Not Important	Safety during emergencies such as power outages, snowstorms, or floods Not Sure/Does Not Apply
Affordable and accessible housing	Affordable and accessible housing Very Important	Affordable and accessible housing Somewhat Important	Affordable and accessible housing Not Important	Affordable and accessible housing Not Sure/Does Not Apply
Assisted living facilities	Assisted living facilities Very Important	Assisted living facilities Somewhat Important	Assisted living facilities Not Important	Assisted living facilities Not Sure/Does Not Apply
Memory loss	Memory loss Very Important	Memory loss Somewhat Important	Memory loss Not Important	Memory loss Not Sure/Does Not Apply
Depression	Depression Very Important	Depression Somewhat Important	Depression Not Important	Depression Not Sure/Does Not Apply
Access to information about long term support services	Access to information about long term support services Very Important	Access to information about long term support services Somewhat Important	Access to information about long term support services Not Important	Access to information about long term support services Not Sure/Does Not Apply
Availability of in-home, long-term support services	Availability of in-home, long-term support services Very Important	Availability of in-home, long-term support services Somewhat Important	Availability of in-home, long-term support services Not Important	Availability of in-home, long-term support services Not Sure/Does Not Apply
Quality long term care options	Quality long term care options Very Important	Quality long term care options Somewhat Important	Quality long term care options Not Important	Quality long term care options Not Sure/Does Not Apply

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* 10. Please rate the need for the following services in your community.

	Very Important	Somewhat Important	Not Important	Not Sure/Doesn't Apply
In-home health services (personal care such as medication management or bathing)	In-home health services (personal care such as medication management or bathing) Very Important	In-home health services (personal care such as medication management or bathing) Somewhat Important	In-home health services (personal care such as medication management or bathing) Not Important	In-home health services (personal care such as medication management or bathing) Not Sure/Doesn't Apply
Help with household chores (grocery shopping, cooking, changing light bulbs, minor repairs, or cleaning)	Help with household chores (grocery shopping, cooking, changing light bulbs, minor repairs, or cleaning) Very Important	Help with household chores (grocery shopping, cooking, changing light bulbs, minor repairs, or cleaning) Somewhat Important	Help with household chores (grocery shopping, cooking, changing light bulbs, minor repairs, or cleaning) Not Important	Help with household chores (grocery shopping, cooking, changing light bulbs, minor repairs, or cleaning) Not Sure/Doesn't Apply
Yard work, trash removal, or snow shoveling	Yard work, trash removal, or snow shoveling Very Important	Yard work, trash removal, or snow shoveling Somewhat Important	Yard work, trash removal, or snow shoveling Not Important	Yard work, trash removal, or snow shoveling Not Sure/Doesn't Apply
Food assistance (Senior Congregate Meals, Meals on Wheals, Commodity Supplemental Food and/or Food Pantry)	Food assistance (Senior Congregate Meals, Meals on Wheals, Commodity Supplemental Food and/or Food Pantry) Very Important	Food assistance (Senior Congregate Meals, Meals on Wheals, Commodity Supplemental Food and/or Food Pantry) Somewhat Important	Food assistance (Senior Congregate Meals, Meals on Wheals, Commodity Supplemental Food and/or Food Pantry) Not Important	Food assistance (Senior Congregate Meals, Meals on Wheals, Commodity Supplemental Food and/or Food Pantry) Not Sure/Doesn't Apply
Senior Centers	Senior Centers Very Important	Senior Centers Somewhat Important	Senior Centers Not Important	Senior Centers Not Sure/Doesn't Apply
Information and referral services such as Dakota at Home	Information and referral services such as Dakota at Home Very Important	Information and referral services such as Dakota at Home Somewhat Important	Information and referral services such as Dakota at Home Not Important	Information and referral services such as Dakota at Home Not Sure/Doesn't Apply
Home Modification Support	Home Modification Support Very Important	Home Modification Support Somewhat Important	Home Modification Support Not Important	Home Modification Support Not Sure/Doesn't Apply
Transportation (Transit Services)	Transportation (Transit Services) Very Important	Transportation (Transit Services) Somewhat Important	Transportation (Transit Services) Not Important	Transportation (Transit Services) Not Sure/Doesn't Apply
Adult Day Program	Adult Day Program Very Important	Adult Day Program Somewhat Important	Adult Day Program Not Important	Adult Day Program Not Sure/Doesn't Apply
Oral health services	Oral health services Very Important	Oral health services Somewhat Important	Oral health services Not Important	Oral health services Not Sure/Doesn't Apply
Breast & Cervical Cancer Screening Program	Breast & Cervical Cancer Screening Program Very Important	Breast & Cervical Cancer Screening Program Somewhat Important	Breast & Cervical Cancer Screening Program Not Important	Breast & Cervical Cancer Screening Program Not Sure/Doesn't Apply
Help in dealing with vision or hearing loss	Help in dealing with vision or hearing loss Very Important	Help in dealing with vision or hearing loss Somewhat Important	Help in dealing with vision or hearing loss Not Important	Help in dealing with vision or hearing loss Not Sure/Doesn't Apply
Financial Assistance	Financial Assistance Very Important	Financial Assistance Somewhat Important	Financial Assistance Not Important	Financial Assistance Not Sure/Doesn't Apply
Legal Assistance	Legal Assistance Very Important	Legal Assistance Somewhat Important	Legal Assistance Not Important	Legal Assistance Not Sure/Doesn't Apply
Affordable housing	Affordable housing Very Important	Affordable housing Somewhat Important	Affordable housing Not Important	Affordable housing Not Sure/Doesn't Apply
Shopping Assistance	Shopping Assistance Very Important	Shopping Assistance Somewhat Important	Shopping Assistance Not Important	Shopping Assistance Not Sure/Doesn't Apply
Veterans Benefits	Veterans Benefits Very Important	Veterans Benefits Somewhat Important	Veterans Benefits Not Important	Veterans Benefits Not Sure/Doesn't Apply
Social Activities	Social Activities Very Important	Social Activities Somewhat Important	Social Activities Not Important	Social Activities Not Sure/Doesn't Apply

Question Title

* 11. If you were not able to access one or more of the needed services listed above, why not? Check all that apply

Transportation

Finances

No phone

No internet

Not aware of service availability

No service in my area

On a waiting list

No one to help me

I do not know where to go

I am too embarrassed to ask for help

Other

Question Title

* 12. How do you get information about community services? Check all that apply.

Community Clerks Office/Town Offices

Library

Parks & Recreation Departments

Family or Friends

Television

Radio

Senior Center

2-1-1

Newspaper/newsletter

Senior Meals

Care Coordinator, Case Manger, or Caregiver

Dakota at Home

Internet/Websites

Social Media such as Facebook or Twitter

Churches or religious organizations

I am not sure

Other

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* 13. Are you aware of Dakota at Home?

Yes

Not Sure

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* 14. Have you ever contacted Dakota at Home? Check all that apply.

Yes, I've called to ask questions or request services

Yes, I've emailed to ask questions or request services

Yes, I've called or emailed to make an Adult Protective Services report

No, I have not had the need to contact Dakota at Home

I do not know what Dakota at Home is

Question Title

* 15. Do you participate in any food programs? Check all that apply.

Yes, I participate in congregate meals at a meal site

Yes, I receive home-delivered meals or Meals on Wheels

Yes, I receive food from a community food pantry

Yes, I receive food from my church or religious organization

Yes, I receive food from a government sponsored supplemental food source

Yes, I receive food from family and/or neighbors

Yes, I receive Supplemental Nutrition Assistance Program benefits (food stamps)

Unsure

Question Title

* 16. If you do not participate in a food program, what are the reasons why? Check all that apply.

I do not need it

I am not aware of food assistance programs

I do not think I am eligible for food assistance programs

I do not want to provide my personal information

It is embarrassing to ask for assistance

I do not think I would get enough assistance

I don’t think the food would be any good

I am on a restrictive diet

I do not like asking for help

It takes too long to fill out the application

I do not know how or where to apply for assistance

I need help filling out the application

I do not feel welcome at a meal site based on my race or ethnicity

Question Title

* 17. In the past 12 months, have you had to skip paying for a basic need (food, medication, heat, or housing) because of financial concerns? Check all that apply.

Yes, I was unable to pay for medication

Yes, I was unable to pay for food

Yes, I was unable to pay for heat

Yes, I was unable to pay for housing

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* 18. As you look into the future, please rate the importance of the concerns listed below.

	Very Concerned	Somewhat Concerned	Not Concerned	Not Sure/Doesn't Apply
Feeling safe in my own home	Feeling safe in my own home Very Concerned	Feeling safe in my own home Somewhat Concerned	Feeling safe in my own home Not Concerned	Feeling safe in my own home Not Sure/Doesn't Apply	Feeling safe in my own home
Feeling safe in my community	Feeling safe in my community Very Concerned	Feeling safe in my community Somewhat Concerned	Feeling safe in my community Not Concerned	Feeling safe in my community Not Sure/Doesn't Apply	Feeling safe in my community
Having safe walkways and roads	Having safe walkways and roads Very Concerned	Having safe walkways and roads Somewhat Concerned	Having safe walkways and roads Not Concerned	Having safe walkways and roads Not Sure/Doesn't Apply	Having safe walkways and roads
Having Senior Centers within my community	Having Senior Centers within my community Very Concerned	Having Senior Centers within my community Somewhat Concerned	Having Senior Centers within my community Not Concerned	Having Senior Centers within my community Not Sure/Doesn't Apply	Having Senior Centers within my community
Retrofitting my home so essential rooms are accessible	Retrofitting my home so essential rooms are accessible Very Concerned	Retrofitting my home so essential rooms are accessible Somewhat Concerned	Retrofitting my home so essential rooms are accessible Not Concerned	Retrofitting my home so essential rooms are accessible Not Sure/Doesn't Apply	Retrofitting my home so essential rooms are accessible
Having medical services nearby	Having medical services nearby Very Concerned	Having medical services nearby Somewhat Concerned	Having medical services nearby Not Concerned	Having medical services nearby Not Sure/Doesn't Apply	Having medical services nearby
Having family nearby	Having family nearby Very Concerned	Having family nearby Somewhat Concerned	Having family nearby Not Concerned	Having family nearby Not Sure/Doesn't Apply	Having family nearby
Affordable health insurance	Affordable health insurance Very Concerned	Affordable health insurance Somewhat Concerned	Affordable health insurance Not Concerned	Affordable health insurance Not Sure/Doesn't Apply	Affordable health insurance
Public transportation	Public transportation Very Concerned	Public transportation Somewhat Concerned	Public transportation Not Concerned	Public transportation Not Sure/Doesn't Apply	Public transportation
Easy and affordable access to public transportation (buses, cabs, Uber, Lyft)	Easy and affordable access to public transportation (buses, cabs, Uber, Lyft) Very Concerned	Easy and affordable access to public transportation (buses, cabs, Uber, Lyft) Somewhat Concerned	Easy and affordable access to public transportation (buses, cabs, Uber, Lyft) Not Concerned	Easy and affordable access to public transportation (buses, cabs, Uber, Lyft) Not Sure/Doesn't Apply	Easy and affordable access to public transportation (buses, cabs, Uber, Lyft)
Having recreation and social engagement	Having recreation and social engagement Very Concerned	Having recreation and social engagement Somewhat Concerned	Having recreation and social engagement Not Concerned	Having recreation and social engagement Not Sure/Doesn't Apply	Having recreation and social engagement
Affordable housing	Affordable housing Very Concerned	Affordable housing Somewhat Concerned	Affordable housing Not Concerned	Affordable housing Not Sure/Doesn't Apply	Affordable housing
Finding an assisted living facility or nursing home	Finding an assisted living facility or nursing home Very Concerned	Finding an assisted living facility or nursing home Somewhat Concerned	Finding an assisted living facility or nursing home Not Concerned	Finding an assisted living facility or nursing home Not Sure/Doesn't Apply	Finding an assisted living facility or nursing home
Finding someone to help me in my home	Finding someone to help me in my home Very Concerned	Finding someone to help me in my home Somewhat Concerned	Finding someone to help me in my home Not Concerned	Finding someone to help me in my home Not Sure/Doesn't Apply	Finding someone to help me in my home
Financial security	Financial security Very Concerned	Financial security Somewhat Concerned	Financial security Not Concerned	Financial security Not Sure/Doesn't Apply	Financial security

Question Title

* 19. Please rate the concerns for your safety listed below.

	Very Concerned	Somewhat Concerned	Not Concerned	Not Sure/Doesn't Apply
I worry about the safety of my neighborhood	I worry about the safety of my neighborhood Very Concerned	I worry about the safety of my neighborhood Somewhat Concerned	I worry about the safety of my neighborhood Not Concerned	I worry about the safety of my neighborhood Not Sure/Doesn't Apply	I worry about the safety of my neighborhood
I fear some members of my family or other people I know	I fear some members of my family or other people I know Very Concerned	I fear some members of my family or other people I know Somewhat Concerned	I fear some members of my family or other people I know Not Concerned	I fear some members of my family or other people I know Not Sure/Doesn't Apply	I fear some members of my family or other people I know
I fear my health is failing/declining	I fear my health is failing/declining Very Concerned	I fear my health is failing/declining Somewhat Concerned	I fear my health is failing/declining Not Concerned	I fear my health is failing/declining Not Sure/Doesn't Apply	I fear my health is failing/declining
I worry about the structure and safety of my home	I worry about the structure and safety of my home Very Concerned	I worry about the structure and safety of my home Somewhat Concerned	I worry about the structure and safety of my home Not Concerned	I worry about the structure and safety of my home Not Sure/Doesn't Apply	I worry about the structure and safety of my home
I fear that someone will take advantage of me (i.e. phone scam, take my money or possessions)	I fear that someone will take advantage of me (i.e. phone scam, take my money or possessions) Very Concerned	I fear that someone will take advantage of me (i.e. phone scam, take my money or possessions) Somewhat Concerned	I fear that someone will take advantage of me (i.e. phone scam, take my money or possessions) Not Concerned	I fear that someone will take advantage of me (i.e. phone scam, take my money or possessions) Not Sure/Doesn't Apply	I fear that someone will take advantage of me (i.e. phone scam, take my money or possessions)
I fear for my physical safety	I fear for my physical safety Very Concerned	I fear for my physical safety Somewhat Concerned	I fear for my physical safety Not Concerned	I fear for my physical safety Not Sure/Doesn't Apply	I fear for my physical safety
I am afraid of falling	I am afraid of falling Very Concerned	I am afraid of falling Somewhat Concerned	I am afraid of falling Not Concerned	I am afraid of falling Not Sure/Doesn't Apply	I am afraid of falling

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* 20. What abilities, skills, talents, gifts, or contributions could you share to help other people in your community?

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* 21. What is your age?

18 to 24 years

25 to 34 years

35 tp 44 years

45 to 54 years

55 to 64 years

65 to 74 years

75 to 84 years

85 to 94 years

95 and better

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* 22. What is your zip code?

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* 23. Are you Hispanic or Latino?

Yes

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* 24. What is your race? Check all that apply.

White

Black or African American

American Indian or Alaska Native

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

Native Hawaiian

Other

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* 25. Please check all that apply to you.

I am deaf or I have serious difficulty hearing

I am blind or I have difficulty seeing, even when wearing glasses

Because of a physical, mental, or emotional condition, I have serious difficulty concentrating, remembering, or making decisions

I have serious difficulty walking or climbing stairs

I have difficulty dressing or bathing

Because of a physical, mental, or emotional condition, I have difficulty doing errands alone such as visiting a doctor’s office or going shopping

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* 26. What is your annual household income?

$0 - $12,499

$12,500 - $24,999

$25,000 - $34,999

$35,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,999

$150,000 – 199,999

$200,00 or more

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* 27. Is there anything not covered in this survey that you would like the Division of Long Term Services and Supports to understand about aging in South Dakota?