MEET THE COMMISSIONERS
Commissioners
George P. Hartwick III, Justin Douglas, Mike Pries
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Find a Department
Human Services
Area Agency on Aging
Needs Assessment Survey
Needs Assessment Survey
Needs Assessment Survey
1) Please indicate your age range.
Under 40
40-59
60-69
70-79
80-89
90 or Over
2) How do you identify your gender?
Male
Female
Trans Male
Trans Female
Non-binary
Other
Prefer not to say
3) Please indicate how you identify your race. Select all that apply.
American Indian or Alaska Native
Asian
Black or African American
Mixed Race
Native Hawaiian or Other Pacific Islander
White
Prefer not to say
Other...
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4) Are you of Hispanic or Latino descent?
Yes
No
Prefer not say
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5) What is your approximate annual household income?
Less than $25,000
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 or more
Prefer not to say
6) How frequently do you have access to healthy, non-processed foods such as fruits, vegetables, dairy products, and whole grains?
Always
Most of the time
Sometimes
Rarely
Never
7) Where do you typically seek community information for older adults (e.g. caregiver services, home-delivered meals, home repair, medical transport, social activities). Select your top 3.
Local senior center
Dauphin County Area Agency on Aging
Other government organization (i.e. PA Dept. of Aging)
Family or friends
Local organizations
Faith-based organizations
Text messaging
Flyers at public buildings
Flyers/Newspaper mailed to residence
Doctor/Social worker/Other healthcare professional
Library
Other...
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8) How important is it for you to remain in your current living situation for as long as possible?
Extremely important
Very important
Somewhat important
Minimally important
Not important at all
9) Do you need help from someone outside the home to:
Prepare your meals
Complete housework (laundry, vacuum, wash dishes, etc.)
Handle financial matters (organize bills, manage checking accounts, file taxes, etc.)
Complete outside work (snow removal, mowing the lawn, etc.)
Tend to personal needs (dressing, bathing, grooming, etc.)
Take medication as prescribed
Obtain transportation to activities (shopping, errands, medical appointments, socializing, etc.)
None
10) Do any of the following barriers prevent you from participating in community events? Select all that apply.
Safety concerns/Violence
Family responsibilities
Transportation issues
Costs and Financial barriers
Physical Limitations
No good options available
Discomfort with going alone
Lack of interest
None of the barriers listed prevent me from participating in community events
11) Are you financially able to cover your expenses for: Select all that apply.
Mortgage/Rent
Utilities
Home modifications (ramp, stairlift, bathroom safety modifications)
Childcare
Transportation
Healthcare
Food
Other...
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12) How often do you feel like you need protection from physical, mental, or financial harm:
Always
Most of the time
Sometimes
Rarely
Never
13) What are your primary modes of transportation for local activities (e.g., shopping, errands, medical appointments, socializing)? Select your top 3.
Walking
Biking
Driving Self
Rides from others
Taxi
Ride-sharing (e.g., Uber/Lyft)
Special transportation services
Public transportation
None of the above
14) How would you rate Dauphin County as a place for people to live as they age?
Excellent
Very Good
Good
Fair
Poor
15) Are you interested in volunteering with the Dauphin County Area Agency on Aging? If yes, please provide a contact number. To learn more about volunteer opportunities, visit: https://www.aging.pa.gov/Pages/Volunteer.aspx
No
Yes
If yes: Contact Number
16) What are the most pressing issues facing older adults in your community? Please specify.
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Dauphin County