Aging Services Survey
NHC Senior Resource Center Survey
Your response will assist us in improving our services and programs. Thank you so much for taking the time to complete this survey!
Please visit our website to learn more about our services:
Under 55 & a Caregiver
I am a caregiver for (Check all that apply)
A child (under the age of 18)
An older adult (55+)
An adult with Special Needs
An adult with dementia/Alzheimer's
Not Applicable/I am not a caregiver
I identify As:
White or Caucasion
Black or African American
Hispanic, Latino, or Spanish
American Indian or Alaskan Native
Other Pacific Islander including Native Hawaiian, Samoan, Guamanian/Chamorro
Other Asian including Japanese, Chinese, Vietnamese, and/or Filipino
Type of housing you reside in:
Single Family Home
Assisted Living/Skilled Nursing
Including yourself, how many people reside in your home?
5 or more
Have you participate in Senior Resource Center programs or activities in the last year?
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