State Plan on Aging Survey

Purpose

Dear South Dakota Survey Participant,

This survey was developed to better understand older individuals and their future needs as they age in South Dakota. Your answers to this survey will help guide the development of the 2021 – 2025 SD State Plan on Aging, and increase the understanding of how best to serve, support, and celebrate older adults across our great state.

We invite you to complete the South Dakota State Plan on Aging Survey. We also invite you to encourage your friends and neighbors to complete the survey for themselves. Survey responses will be collected from participants across the state until December 31, 2020.

Thank you for your time and contribution. We value your opinion and greatly appreciate your participation in the South Dakota State Plan on Aging Survey!

Sincerely,

The SD Division of Long Term Services and Supports

4.What would make healthy aging in South Dakota better or easier for you?

5.Do you visit your local Senior Center?

7.Do you provide unpaid caregiving support weekly for any of the below individuals? Check all that apply.

No, I do not provide any caregiving supports to others

Yes, I care for a grandchild, great-grandchild or step-child under the age of 18

Yes, I care for an older adult that is not a member of my family

Yes, I care for a person with a disability

Yes, I care for my spouse/partner/other family member

8.If you answered “yes” to the above caregiving question, what are your top needs as a caregiver? Check all that apply

Respite

Support Groups

Information and Referral

Funds for clothing, incontinence supplies, food, home modifications or other items

Funds for prescription deductibles and co-pays

Education about your loved one’s diagnoses and care requirements

Transportation assistance

Other

13.Are you aware of Dakota at Home?

Yes

Not Sure

14.Have you ever contacted Dakota at Home? Check all that apply.

Yes, I've called to ask questions or request services

Yes, I've emailed to ask questions or request services

Yes, I've called or emailed to make an Adult Protective Services report

No, I have not had the need to contact Dakota at Home

I do not know what Dakota at Home is

15.Do you participate in any food programs? Check all that apply.

Yes, I participate in congregate meals at a meal site

Yes, I receive home-delivered meals or Meals on Wheels

Yes, I receive food from a community food pantry

Yes, I receive food from my church or religious organization

Yes, I receive food from a government sponsored supplemental food source

Yes, I receive food from family and/or neighbors

Yes, I receive Supplemental Nutrition Assistance Program benefits (food stamps)

Unsure

17.In the past 12 months, have you had to skip paying for a basic need (food, medication, heat, or housing) because of financial concerns? Check all that apply.

20.What abilities, skills, talents, gifts, or contributions could you share to help other people in your community?

22.What is your zip code?

23.Are you Hispanic or Latino?

Yes

25.Please check all that apply to you.

I am deaf or I have serious difficulty hearing

I am blind or I have difficulty seeing, even when wearing glasses

Because of a physical, mental, or emotional condition, I have serious difficulty concentrating, remembering, or making decisions

I have serious difficulty walking or climbing stairs

I have difficulty dressing or bathing

Because of a physical, mental, or emotional condition, I have difficulty doing errands alone such as visiting a doctor’s office or going shopping

27.Is there anything not covered in this survey that you would like the Division of Long Term Services and Supports to understand about aging in South Dakota?