Community Needs Assessment 

Your voice matters! The Council on Aging of Central Oregon (COA) is conducting a survey to collect public input about the needs of older adults, people with physical disabilities, and unpaid family caregivers in our community. The survey is one part of a larger community needs assessment that the organization is undertaking to help identify gaps, leverage resources, and prioritize services across the tri-county. The data collected in this survey will be used to develop an Area Plan, which is a requirement under the Older Americans Act.

COA especially wants to hear from members of Deschutes, Crook, and Jefferson counties, who are:

  • Ages 55+, particularly:
    • Black, Indigenous, Tribal Elders, and people of color

    • Immigrants and refugees

    • LGBTQIA+ older adults and veterans

    • People who are homebound or isolated 

    • Older adults with low income

  • Unpaid family and friend caregivers 

  • Veterans 

  • Adults with physical disabilities

The survey is available online in English and Spanish through October 15th (Versión en Españolhttps://forms.gle/oHCiZDV1HekDFHbSA). If individuals prefer to fill out a paper version, or need assistance completing the survey by phone, please call our office at 541-678-5483.

When you have finished the survey, you will be prompted to enter your contact information for entrance into a raffle for a chance to win a $50 Visa gift card, $50 supermarket, or $50 gas gift card. This is optional and your survey data will still remain anonymous. 


Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Central Oregon Council on Aging. Report Abuse