2019 Council on Aging Survey

Snohomish County Council on Aging Survey

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* 1. I live in Snohomish County:

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* 2. My zip code is:

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* 3. Do you have a disability?

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* 4. What is your gender?

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* 5. Do you identify as (select all that apply):

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?

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.

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?

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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?

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* 10. What are your biggest transportation challenges? Select all that apply.

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?

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* 12. During the past year, did you run out of money to buy food?

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* 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?

2019 Council on Aging Survey

Snohomish County Council on Aging Survey

Question Title

* 1. I live in Snohomish County:

Question Title

* 2. My zip code is:

Question Title

* 3. Do you have a disability?

Question Title

* 4. What is your gender?

Question Title

* 5. Do you identify as (select all that apply):

Question Title

* 6. How old are you?

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* 7. In your opinion, what are your top three needs as an older adult? You can only select three.

Question Title

* 8. Do you currently provide help for an adult (18+ years old) family member, friend or neighbor?

Question Title

* 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?

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* 10. What are your biggest transportation challenges? Select all that apply.

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* 11. What is your current housing arrangement?

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* 12. During the past year, did you run out of money to buy food?

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* 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?

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* 14. What do you think other older adults need access to in order to age in a healthy manner?