2016 Community Assessment Survey for Older Adults

Oprima aquí para la encuesta española

If you are aged 60 or over, we want to hear from you by November 18, 2016

Pima Council on Aging (PCOA) is surveying older adults in Pima County to identify current and emerging needs for aging services. The following are critical things that some older residents are concerned with. To what degree is each of these things a concern to you personally? PLEASE SELECT the most appropriate response to each listed item.

IF YOU NEED ASSISTANCE, PLEASE CALL THE PCOA HELPLINE AT: 520-790-7262

Question Title

* PERSONAL CONCERNS

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14% of survey complete.

	NOT CONCERNED	SOME WHAT CONCERNED	VERY CONCERNED
1. Falling/Fear of falling	1. Falling/Fear of falling NOT CONCERNED	1. Falling/Fear of falling SOME WHAT CONCERNED	1. Falling/Fear of falling VERY CONCERNED
2. Accidental injury (other than a fall)	2. Accidental injury (other than a fall) NOT CONCERNED	2. Accidental injury (other than a fall) SOME WHAT CONCERNED	2. Accidental injury (other than a fall) VERY CONCERNED
3. Depression and/or anxiety	3. Depression and/or anxiety NOT CONCERNED	3. Depression and/or anxiety SOME WHAT CONCERNED	3. Depression and/or anxiety VERY CONCERNED
4. Losing a spouse or loved one	4. Losing a spouse or loved one NOT CONCERNED	4. Losing a spouse or loved one SOME WHAT CONCERNED	4. Losing a spouse or loved one VERY CONCERNED
5. Loneliness and/or isolation	5. Loneliness and/or isolation NOT CONCERNED	5. Loneliness and/or isolation SOME WHAT CONCERNED	5. Loneliness and/or isolation VERY CONCERNED
6. Providing care for family member, friend or neighbor	6. Providing care for family member, friend or neighbor NOT CONCERNED	6. Providing care for family member, friend or neighbor SOME WHAT CONCERNED	6. Providing care for family member, friend or neighbor VERY CONCERNED
7. Providing care for an older person while still employed	7. Providing care for an older person while still employed NOT CONCERNED	7. Providing care for an older person while still employed SOME WHAT CONCERNED	7. Providing care for an older person while still employed VERY CONCERNED
8. Raising grandchildren	8. Raising grandchildren NOT CONCERNED	8. Raising grandchildren SOME WHAT CONCERNED	8. Raising grandchildren VERY CONCERNED
9. Physical or emotional abuse	9. Physical or emotional abuse NOT CONCERNED	9. Physical or emotional abuse SOME WHAT CONCERNED	9. Physical or emotional abuse VERY CONCERNED
10. Maintaining and repairing my home	10. Maintaining and repairing my home NOT CONCERNED	10. Maintaining and repairing my home SOME WHAT CONCERNED	10. Maintaining and repairing my home VERY CONCERNED
11. Losing my home to foreclosure	11. Losing my home to foreclosure NOT CONCERNED	11. Losing my home to foreclosure SOME WHAT CONCERNED	11. Losing my home to foreclosure VERY CONCERNED
12. Memory loss	12. Memory loss NOT CONCERNED	12. Memory loss SOME WHAT CONCERNED	12. Memory loss VERY CONCERNED
13. Getting information about senior services	13. Getting information about senior services NOT CONCERNED	13. Getting information about senior services SOME WHAT CONCERNED	13. Getting information about senior services VERY CONCERNED
14. Ability to live independently in my home as I age	14. Ability to live independently in my home as I age NOT CONCERNED	14. Ability to live independently in my home as I age SOME WHAT CONCERNED	14. Ability to live independently in my home as I age VERY CONCERNED