Aging Plan 2019-2021 Community Survey
Help us understand what is most important to you. Please complete the following survey.
What is your zip code?
Your answer
Age?
Your answer
Gender?
How do you most often learn community events, programs, or services? (check all that apply)
Do you live alone?
Do you spend regular time with friends/acquaintances in the community?
Do you have someone you can call in an emergency?
Do you drive?
Do you use public transportation?
Do you feel your health is:
Do you participate in regular exercise?
Do you have assistance with:
Do you need assistance with:
Have you experienced a fall or an injury as a result of a fall in the last six months?
Are you interested in taking a class about health related issues or falls prevention?
Are you raising grandchildren in your home?
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