Assessment
Community Assessment
Assessing Our Community for Positive/Healthy Aging
Racine County ADRC is looking for your thoughts and ideas that will help us improve programs and services for the residents of Racine County as they age. Your answers will help us develop goals for the years of 2022-2024 Racine County Aging Plan.
* Required
Please share a little about yourself:
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Male
Female
Age
*
45-55 years of age
55-65 years of age
65-75 years of age
75+
Other:
Required
*
Non-minority (white, non-hispanic)
Black/African American
American Indian/Native American
Asian
Native Hawaiian/Other Pacific Islander
Other:
Zip Code where you live in
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Your answer
Email (optional)
Your answer
What brought you to this survey? IE: Facebook, ADRC Website, group email (please name)
*
Your answer
What are the top three concerns you have at this time?
Your answer
What are some services or ideas you feel would make our community more enjoyable to live in as you grow older?
Your answer
Are there services or events you have heard of in other communities that you think would be helpful to older people in our county? If so, what are these?
Your answer
If a meal-voucher program were funded by Older Americans Act funding was available in a local restaurant, would you participate?
Yes
No
Maybe
Clear selection
If you are a caregiver for a spouse, family member or friend, what resources do you think are most important to help people remain living in the community as long as possible?
Your answer
What are the main issues, problems, and challenges adults' midlife and beyond in our community are facing?
Your answer
As we continue to meet the community's needs, following the pandemic, how comfortable are you meeting with the ADRC, either in our office or in home?
*
Extemely comfortable
Comfortable
Uncomfortable
Extremely uncomfortable
In ADRC Office
In Home
Extemely comfortable
Comfortable
Uncomfortable
Extremely uncomfortable
In ADRC Office
In Home
What keeps you from contacting the ADRC?
Your answer
Do you have any other comments about creating new services or programs for older adults in Racine?
Your answer
Aging & Disability Resources Center of Racine County
14200 Washington Avenue
Sturtevant, WI 53177
262-833-8777
1-866-219-1043
TTY: Wisconsin Relay 711
Email:
adrc@racinecounty.com
www.adrc.racinecounty.com
The Racine County ADRC is a single, easy access source for information and assistance on issues affecting older people and people with disabilities. We can provide individuals with unbiased information and options available to help people make informed choices
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