2019 Council on Aging Survey
Snohomish County Council on Aging Survey
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1.
I live in Snohomish County:
(Required.)
Yes
No
Unknown
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2.
My zip code is:
(Required.)
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3.
Do you have a disability?
(Required.)
Yes
No
Unknown
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4.
What is your gender?
(Required.)
Male
Female
Transgender
Unknown
Other (please specify)
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5.
Do you identify as (select all that apply):
(Required.)
White/Caucasian
Native American
Hispanic, Latino/a, or Spanish origin
Asian
Pacific Islander
Black or African American or African
Middle Eastern
Unknown
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6.
How old are you?
(Required.)
18-59 years old
60-69 years old
70-79 years old
80-89 years old
90 years or older
Unknown
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7.
In your opinion, what are your top three needs as an older adult? You can only select three.
(Required.)
Enough food
Access to health care
Housing
Transportation
Socialization
Dental care
Hearing aids
Knowing whom or where to call when I have a problem
Vision care and eye glasses/contacts
Enough money to pay for basic needs such as food, utilities, housing, and medicines
Other (please specify)
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8.
Do you currently provide help for an adult (18+ years old) family member, friend or neighbor?
(Required.)
Yes
No
Unknown
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9.
As an older adult (60 years and older), do you have the primary responsibility for raising a grandchild or other family member who is under the age of 18 years old?
(Required.)
Yes
No
Unknown
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10.
What are your biggest transportation challenges? Select all that apply.
(Required.)
Not comfortable driving/cannot drive
Cannot afford gas, parking, insurance, and other costs associated with a car
Do not have someone to drive me
No bus service in my area
Not familiar with transportation services that are available
Do not know who to call for help
Do not like having to rely on others for transportation
Other (please specify)
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11.
What is your current housing arrangement?
(Required.)
Live alone
Live with spouse/partner
Live with non-family
Live with adult children
Live with other family members (sibling, aunt, uncle, etc.)
Unsheltered/homeless
Unknown
Other (please specify)
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12.
During the past year, did you run out of money to buy food?
(Required.)
Yes
No
Unknown
13.
“Healthy Aging” can be described as being free of disease, functioning at a high physical and cognitive level, and being socially engaged and productive as you age. What do you need easy access to in order to age in a healthy manner?
14.
What do you think other older adults need access to in order to age in a healthy manner?
Current Progress,
0 of 14 answered