Community Engagement Survey

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Community Engagement Survey - General

The ADRC of NWWI is gathering information from community members to gain knowledge of the needs and desires of those in our communities to use in the creation of our 3 year Aging Plan for 2025 - 2027. Thank you for your cooperation.

What is your current age?

18 - 40 years of age

41 - 54 years of age

55 - 69 years of age

70 + years of age

Clear selection

What is your 5-digit ZIP code?

Are you any of the following? (Check all that apply)

Caregiver of a family member or friend

Employee/Volunteer serving older adults

Health Care Professional

Elected Official

What do you think are the top three things that need to improve to help adults in our community as they age? Please check three:

Alternative transportation options

Food delivery options

Access to healthy food

Home health options

Help with social isolation and loneliness

Help understanding Medicare and drug plan choices

Ways to keep fit and healthy

Affordable housing options

Support for family caregivers

Dementia supports and services

Access for people with disabilities

Other:

What are the top three health concerns you have as you age?

Addiction

Arthritis

Brain health/dementia

Bowel and bladder health

Caregiver Supports

Diabetes

Eating Well

Exercise

Heart Health

Mental Health

Preventing Falls

Other:

Our rural communities can be great places to age well. What do you feel your community does a good job doing to support people in aging well?

What areas would you like to learn more about?

Use of Technology

Nutrition

Healthy Aging

Alternate means for personal connectivity

Understanding government policies

Dementia friendly communities

Brain Health

Caregiver exhaustion

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