2026 Home Delivery Client Survey
Advisory Council / Aging Ahead Your feedback helps us improve services for seniors. Please complete this survey. Your responses are confidential.
Advisory Council / Aging Ahead is dedicated to supporting seniors in our community. Please answer the following questions to help us better serve you.
1. We know you are receiving Home Delivered Meals. What other support services do you currently receive from Aging Ahead?
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2. What, if any, help do you receive to provide the assistance you need? (Examples: meals, in-home health care, etc.)
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2a. Who provides this help to you?
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Family Members
Professional
Husband/Wife
Friend
Neighbor
Volunteer
None Needed
3. Are there programs or services you need that are not available today? If so, what are they?
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4. Do you intend to vote in the 2026 Mid-Term Election?
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Yes
No
Not Sure
If you need assistance with voting, please contact your local Senior Center for more information.
5. What activities of everyday life are most difficult for you?
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Steps
Laundry
Errands
Getting a Ride
Meeting New People
Reaching High Places
Remembering Tasks
Phone Apps
6. If you were on the Advisory Council of Aging Ahead, what would you like us to discuss as the most important aging issues facing seniors today?
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We are researching other programs and welcome feedback.
Do you have a pet?
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Yes
No
If so, do you have difficulty feeding your pet due to food expense?
Yes
No
Optional Demographics
Age
Gender
ZIP Code
The Advisory Council of Aging Ahead advocates for the needs of older adults in our community, helping guide programs and services to ensure seniors remain healthy and independent.
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