Hadassah Harvest - Food Sub Committee Senior Support Services
Hadassah Harvest participates with Gwinnett Cares Food Sub-Committee, we would like to do some initial research on services provided (or not provided!) to Gwinnett County residents staying in our local extended stay motels. We have created this brief survey to help capture information on how we may best serve the seniors in our community. Thank you for your time and participation.
Name (First and Last)
ADDRESS: (If you live in an Extended Stay Motel please include the name of the motel and address).
Room # (Extended Stay residents)
How long have you resided at this location?
Telephone or Cell Phone Number
It is easy for me to meet monthly expenses
Are you comfortable using a computer?
What type of transportation do you use most often? Please check only one answer.
Friend or Family
Taxi service (Uber/Lyft, etc.)
What services would be, or would have been, the greatest help for you?
Meals on Wheels
COVID-19 Vaccination Information & Assistance to receive the vacination
Home Support Services (light housekeeping, meal preparation, etc.)
Prescription Copayment or delivery
Would you prefer prepared cooked meals or boxed food items delivered to you as an option?
Prepared Cooked Meals
Boxed/Bag food items from food pantry (prepare your own meals)
Do you have any meal dietary requirements or restrictions?
Do you have any strength and hand flexibility limitations that would encumber hardship to open or handle cans?
Explain if YES
What are the most important issues facing seniors?
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