Which categories best describe you? (Please select all that apply.)(Required) Area Agency on Aging client over age 60 Area Agency on Aging client under age 60 Individual age 60 or over who is not an Area Agency on Aging client Individual under age 60 who is not an Area Agency on Aging client Individual with a disability Family Caregiver (Nonpaid, anyone who provides any type of physical and/or emotional care for a loved one who is ill or has a disability at home) Service provider Elected Official Board or Aging Advisory Council Member Other (Indicate) Indicate Other:Please select the county in which you live(Required)CokeConchoCrockettEdwardsIrionKimbleMasonMcCullochMenardReaganSchleicherSterlingSuttonTom GreenIf you selected Service Provider in Question #1, please select the county or counties in which your organization serves older adults and/or family caregivers. (If you are not a Service Provider, please skip to Question #5.) Coke Concho Crockett Edwards Irion Kimble Mason McCulloch Menard Reagan Schleicher Sterling Sutton Tom Green From the list below of most common services provided by Area Agencies on Aging, how would you RANK the IMPORTANCE of these services to older adults and family caregivers in your community? (1 being most important, 10 being least important.) Note: If you are completing this survey on a mobile phone, switching to desktop mode may make it easier to scroll and interact with the questions.(Required)If not listed above, what are the top three needs to be addressed so that older adults can continue to live independently?As an older adult, how concerning are each of the following issues?Family Caregiver Questions (only shown if applicable)As a family caregiver, what is the greatest challenge encountered in providing care for a loved one? (If you are not a family caregiver, please skip to question #12)As a family caregiver, Which of the following caregiving needs are currently NOT being adequately met? (If you are not a family caregiver, please skip to question #12) Emotional support Physical help with caregiving tasks Information or education about caregiving Time for rest or self-care Financial support or guidance Access to respite care Help navigating healthcare or social services Transportation assistance None of the above As a family caregiver, Which services do you need but cannot access? (If you are not a family caregiver, please skip to question #12) Respite care Home health services Medical equipment Mental health services Support groups Transportation services No unmet service needs Financial Assistance Program Help Navigating Insurance or Benefits Financial Planning Resources I am not sure what is available My needs are met Please explain why you cannot access those needs.As a family caregiver, What additional support resources would be helpful that was not discussed above? (If you are not a family caregiver, please skip to question #12)Where do you get information about services for older adults? (Please select all that apply.) 2-1-1 Texas Aging and Disability Resource Center Area Agency on Aging AARP Do not receive information about senior services Health care provider Internet Newspaper/newsletter Older adult programs and services website Radio Senior/Community recreation center Senior Sourcebook Television Word of mouth Other (please specify) If chose Other; Please specify:If not already listed above, which methods would help reach seniors to complete this survey?
