COVID-19 Community Response (Community Check-In Campaign resources)

Community Check-In Resources

Welcome to this quick survey!

Let's build and strengthen our community check-in networks! Please take a few minutes and describe any resources and best practices that you think are worthy of implementation across California. Specifically, we are looking for activities your organization has successfully implemented to ensure that older and vulnerable adult populations stay connected to their communities during the COVID-19 outbreak.

The California Department of Aging will compile and organize your resource links and examples so that they can be shared across our aging and older adult networks in one consolidated space, www.EngageCa.gov/check-in.

Thank you!

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* 1. Name:

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* 2. Email address:

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* 3. Phone number:

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* 4. What is the name of the organization you represent?

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* 5. Type of Organization

Area Agency on Aging

Health Care Provider

Health Insurance Plan

Independent Living Center

Faith Based Organization

Private Senior Service Agency/Center

Community Based Nonprofit Organization

Other (please specify)

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* 6. County of Operation:

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* 7. City and/or Service Area(s) of Operation:

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* 8. Approximately how many people are you connecting each week?

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* 9. Please write a short paragraph describing how your organization is connecting older adults and other vulnerable members of your community with services, volunteers, or their neighbors for assistance.

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* 10. We'd love to collect and share resources and best practices (such as FAQs, health and safety guidance, tool kits, scripts, etc) throughout our networks. Please insert any hyperlinks you think may be helpful for others. If you have digital copies, you can email to Engage@aging.ca.gov with the subject line COMMUNITY CHECK-IN RESOURCES.