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Part 1: Background Information

The Area 12 Agency on Aging (A12AA), the Blue Zones Project, and the A12AA Advisory Council, are conducting a Community Needs Survey to identify the needs of older adults in Alpine, Amador, Calaveras, Mariposa, and Tuolumne Counties.

The target audience for this survey is age 50+, adult caregiver age 18+ caring for person age 60+, relative age 55+ caring for grandchildren and a resident of Alpine, Amador, Calaveras, Mariposa or Tuolumne Counties. If you have questions, or would like assistance to fill out the survey, contact: Area 12 Agency on Aging, 800-510-2020, 209-532-6272 or info@area12.org.

Submit survey by October 10, 2023. The survey is annonymous.

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* 1. What organization would you consult when in need of resources for yourself, a family member or neighbor? For example: transportation, home delivered meals, home repair.

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* 2. Check your county of residence and provide zip code.

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* 3. Approximately how many years have you lived in your current community? 

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* 4. How do you pay for housing?

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* 5. What kind of place do you live in?

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* 6. How many people including yourself, live in your household?

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* 7. What is your work status?

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* If you volunteer, how many hours a week do you volunteer?

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* 9. What is your income level

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