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HomeMy WebLinkAbout1 Handout - EOA OA Survey June 1 20221 NEEDS ASSESSMENT SURVEY: AGING IN HAWAII Version 1.0 The Department of Health, Executive Office on Aging is requesting your assistance and participation in completing this survey. This survey looks at issues faced by you, our Kupuna, and Hawaii’s older adults of tomorrow. The results of this survey will help the development of programs, services, and the direction of the 2023-2027 Hawaii State Plan on Aging. Answers are strictly voluntary and anonymous. DEMOGRAPHICS 1. Where do you live? ____ City and County of Honolulu ____ Maui County ____ Hawaii County ____ Kauai County ____ Other State or Country, please specify: _____________________________________ 2. What City do you live in? __________________ 3. What is your 5-digit Residence Zip code? ___________________ (If you use a P.O. Box, please indicate the zip code of the P.O. box.) 4. What is your Age? __________ 5. What is your Race/Ethnicity? (Check all that apply) ____ American Indian or Alaska Native ____ Hawaiian ____ Samoan ____ Black or African American ____ Hispanic or Latin ____ Tongan ____ Caucasian or White ____ Japanese ____ Vietnamese ____ Chinese ____ Korean ____ Prefer not to answer ____ Filipino ____ Marshallese Other Race, please specify _________________________________________ 2 6. Is English your primary language? ____ Yes ____ No, please specify your preferred language/dialect? For example: Filipino and Tagalog 7. What gender identity status do you identify with? ____ Male ____ Female ____ Transgender ____ Non-Binary/Gender Non-Conforming ____ Not listed above, please specify: ____________________________________ ____ Prefer not to answer 8. How many people live in your household (include yourself)? _______ 9. Which of the following statements best describes your living situation? (Check all that apply) ____ I live alone ____ I live with my spouse ____ I live with other family members ____ I live with friends, roommates, etc. ____ I have pets in the home ____ I am currently homeless/houseless ____ Other, please specify: _____________________________________________ ____ Prefer not to answer 10. What is the highest level of formal education you have completed so far? ____ Elementary/Middle school ____ Some High School ____ High School graduate ____ Some College or Technical training ____ College Degree ____ Graduate school ____ Prefer not to answer 3 11. What is your current employment status? ____ Retired ____ Employed part time ____ Employed full time ____ Seasonal Employment ____ Seeking Employment ____ Unemployed ____ No longer working because of caregiving responsibilities ____ No longer working because of my health problems ____ Other, please specify ____________________________________________________ ____ Prefer not to answer TRANSPORTATION 12. How do you get around to the places you need to go? (Check all that apply) ____ I drive myself ____ I use a volunteer driver service ____ I have a family member or friend drive me ____ I use a Taxi, Uber, or Lyft ____ I have my transportation provided by an agency ____ I walk ____I use public transportation (i.e., bus, Handivan/paratransit) ____ None of the above Other, please specify __________________________________________________________ 13. In the last 3 months, were you not able to do any of the following because you did not have transportation? (Check all that apply) ____ Go to a health care appointment ____ Shop for groceries ____ Go to the pharmacy, the bank, and/or the post office ____ Visit friends and family ____ Volunteer activities ____ Attend and/or participate in religious activities ____ Participate in fitness, health, and wellness activities ____ Other, please specify: ____________________________________________ ____ None of the above. I had transportation 4 14. If you could not get help with your transportation needs, what are the main reasons? (Check all that apply) ____ There are no transportation services available in my area ____ I do not have family or friends who can drive me ____ I do not know where to get information about transportation services in my area ____ The transportation services are too expensive ____ Language barriers ____ Physical challenges such as needing assistance getting in and out of the car and/or bus, or using a wheelchair or walker ____ Other reason(s), please specify: ____________________________________ ____ None of the above HOUSING 15. What type of residence do you live in? ____ Single family home ____ Public housing ____ Condo/Town house ____ Assisted living facility ____ Apartment ____ Homeless shelter/houseless ____ Senior Independent living apartment ____ Prefer not to answer Other type of housing, please specify _______________________________________________________________________ 16. Does your home meet your current needs? (Check all that apply) ____ No, my home needs repairs that I cannot afford ____ No, my home needs modifications to meet my physical needs (ramps, bathroom, modifications, etc.) ____ No, my home requires too much upkeep and maintenance ____ No, I cannot afford property taxes, rent/mortgage, and/or utilities ____ Other needs, please specify: ____________________________________________ ____ Yes, my home meets my current needs. 5 FOOD AND NUTRITION 17. In the last 3 months, did you have enough money to buy the food that you needed? ____ Yes ____ No ____ Other, please specify: ____________________________________________ ____ Prefer not to answer 18. In the last 3 months, did you have difficulty preparing or cooking your own meals? ____ Yes ____ No ____ Prefer not to answer 19. In the last 3 months, did you eat alone most of the time? ____ Yes ____ No ____ Other, please specify _______________________________________________ ____ Prefer not to answer 20. Have you attended a County congregate meal site for your meals currently OR in the past? County congregate meal sites provide low-cost or free nutritionally balanced meals, health information, and offer activities for Hawaii residents aged 60 years and older. The County congregate meals sites are located at churches, community centers, senior centers, and public/senior housing. ____ Yes ____ No ____ Prefer not to answer 6 21. If you stopped attending a County congregate meal site OR have not attended a congregate meal site, what is the reason. (Check all that apply) ____ I do not need the meals ____ I do not know how to find out about meal sites in ____ I do not like the food served my community ____ I do not like eating in a group setting ____ I do not have transportation to the meal site ____ I do not like where the meal site is located ____ Site closed due to COVID ____ I do not like the activities provided at the ____ Prefer not to answer meal site Other reasons, please specify _____________________________________________________ _________________________________________________________________________ 22. Do you currently receive County home delivered meals? The County home-delivered meal program provides Hawaii residents, aged 60 and older, low- cost, or free nutritious meals delivered to their house. Agencies that participate in the County home-delivered meal program may include providers such as Meals on Wheels and Mom’s Meals. ____ Yes ____ No ____ Prefer not to answer 23. If you do not receive low-cost or free home delivered meals, why not? (Check all that apply) ____ I can prepare my own meals ____ I have my family or friends help me with my meals. ____ A paid home care provider prepares my main meals ____ I do not know how to get County home-delivered meals ____ I am on a waitlist for home delivered meals ____ I do not like the taste of the home-delivered meals ____ I am not eligible for the home-delivered meal program ____ Other, please specify: ____________________________________________ ____ Prefer not to answer 7 HEALTH STATUS 24. How would you rate your health? ____ Excellent ____ Good ____ Fair ____ Poor ____ Prefer not to answer 25. Do you have concerns about your memory that impacts your ability to make decisions? ____ No ____ Yes, please explain your concerns about your memory (i.e., forgetting names and words, difficulty remembering things, etc.) __________________________________________________________________________ __________________________________________________________________________ ____ Prefer not to answer 26. Do you have any of the following conditions health conditions? (Check all that apply) ____ Arthritis ____ Hand problems (grabbing/lifting) ____ Blindness or severe vision impairment ____ Heart problems ____ Dementia ____ High blood pressure ____ Dental problems (eating/drinking) ____ Intellectual or Developmental disability ____ Diabetes ____ Physical disability ____ Foot problems (walking/balance) ____ Significant hearing loss ____ None of the above Other, please specify ____________________________________________________________ 8 27. In the last 6 months, have you felt lonely and disconnected from other people? ____ Always ____ Usually ____ Sometimes ____ Rarely ____ Never ____ Prefer not to answer 28. In the last 6 months, did you fall? ____ No ____ Yes, please describe how you fell _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ ____ Prefer not to answer 29. If you fell in the last 6 months, did you: (Check all that apply) ____ Need someone to help you get up ____ Get up on my own (did not need assistance) ____ Go to your primary doctor ____ Go to the emergency room (ER) or urgent care clinic and released to home ____ Go to the emergency room and was hospitalized ____ Other (please specify) ______________________________________________ ______________________________________________________________ ____ None of the above, I did not fall in the last 6 months. 30. In the last 6 months, have you ever gone without medications because you could not afford them? ____ Yes ____ No ____ Prefer not to answer 9 INFORMATION & SERVICES 31. How difficult is it to find information you need about available services and programs? ____ Very difficult ____ Somewhat difficult ____ Not difficult at all ____ Haven’t tried ____ Prefer not to answer 32. What are the best ways for you to get information about available services in your community? (Check all that apply) ____ TV ____ County Office on Aging/ADRC ____ Radio ____ State Executive Office on Aging ____ Newspaper ____ Doctor/healthcare provider ____ Internet ____ Newsletters or flyers in the mail ____ Friends/Family (word of mouth) ____ Senior or community center ____ Church/Social groups ____ None of the above ____ Communications with a State or local agency Other, please specify _________________________________________________________ 33. How do you access the internet for information? (Check all that apply) ____ I do not access the internet ____ I do not know how to access the internet ____ I access the internet from my home computer, laptop, or tablet ____ I access the internet from my cell phone ____ I use a friend/family member’s computer, laptop, tablet, and/or cell phone ____ I have other ways I access the internet, please specify ______________________ ____________________________________________________________ ____ None of the above 10 34. In the last 6 months, have you needed information with any of the following? (Check all that apply) ____ Other, please specify: ___________________________________________ 35. In the last 6 months, have you needed legal information on any of the following? (Check all that apply) ____ Preparing a Will ____ Filing for bankruptcy ____ Power of Attorney ____ Preparing a Trust ____ Financial debt ____ Property crime ____ Preparing a Living Will ____ Foreclosure ____ Social Security benefits ____ Abuse (physical or financial) ____ Landlord/tenant issues ____ Other, please specify ____ Advance Healthcare Directives ____ Medicare/Medicaid benefits _________________________ ____ Estate Planning ____ Physical crime __________________________ ___ None of the above, I did not need any legal information 36. What were the barriers to getting the information/services needed? (Check all that apply) ____ I do not know who to ask ____ Services are not available ____ There are waitlists for services due to worker shortage ____ I cannot afford the services that ____ Language difficulties ____ I prefer not to ask for help I need ____ Services were not ____ I do not qualify for ____ Other, please specify culturally appropriate services I need _______________________________ ____ None of the above, I was able to get the information/services I needed. ____ Adult day care ____ In-home services ____ Caregiving services ____ Managing your finances ____ Finding volunteer opportunities ____ Medicare or other health insurance ____ Food and/or meals ____ Respite care ____ Information about community resources ____ Transportation ____ Home modifications ____ None of the above ____ Housing 11 YOUR COMMUNITY 37. How would you rate your community as a place to live for people as they age? ____ Excellent ____ Good ____ Fair ____ Poor ____ Not sure ____ Prefer not to answer 38. Do you have ideas on how to make aging in your home or community better or easier? ___ No ___ Yes. Please share your ideas. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 39. Do you volunteer in your community? ____ No ____ Yes, please describe the volunteer work that you do ________________________________________________________ ________________________________________________________ ________________________________________________________ 12 COVID-19 PANDEMIC & EMERGENCY PREPAREDNESS 40. What kinds of information do you need relating to COVID-19? ____ Prevention measures to avoid being infected with COVID-19 ____ The signs and symptoms of COVID-19 ____ What to do if I get infected ____ Where to test for COVID-19 ____ Where to go for vaccinations and boosters ____ Coping with long-term COVID-19 symptoms ____ Coping and living with COVID-19 within your community ____ Other COVID-19 information needed, please specify. ______________________________________________________________ ____ None of the above 41. Do you know where to go for COVID-19 information? ____ Yes ____ No ____ Unsure ____ Prefer not to answer 42. Over the last two years, COVID-19 has impacted my life and my daily activities. ____ Strongly disagree ____ Somewhat disagree ____ Neither agree nor disagree ____ Somewhat agree ____ Strongly agree ____ Prefer not to answer 13 43. During the COVID-19 pandemic (last two years), I felt isolated from family and friends. ____ Strongly disagree ____ Somewhat disagree ____ Neither agree nor disagree ____ Somewhat agree ____ Strongly agree ____ Prefer not to answer 44. In case of an emergency (earthquakes, flooding, no electricity, etc), do you have a disaster plan in place? ____ No ____ Yes, please describe your plan: _____________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ YOUR QUALITY OF LIFE 45. How do you rate your quality of life right now? ____ Excellent ____ Good ____ Fair ____ Poor ____ Other, please specify______________________________________________ ____ Prefer not to answer 14 46. What are your Top 3 life challenges? (Select a maximum of 3 challenges) ___ Stress ___ Poor hearing ___ Commuting to work ___ Keeping a positive attitude ___ My health conditions ___ Helping my adult children ___ Feeling lonely ___ Paying my bills ___ Helping my grandchildren ___ Lack of sleep ___ Job security ___ Caregiving responsibilities ___ Lack of time for myself ___ Affordable housing ___ Planning ahead for ___ Forgetfulness ___ Reliable transportation aging in place Other life challenges (please specify) _______________________________________________ _____________________________________________________________________________ 47. What are the Top 3 things that make you happy in life? (Select a maximum of 3 things) ___ Socializing with friends/family ___ Surfing/Beach activities ___ Praying/Religious activities ___ Playing with my grandchildren ___ Golfing ___ Cooking and/or baking ___ Playing with my pet(s) ___ Shopping ___ Sleeping as long as I want ___ Exercising ___ Listening to music ___ Having stable finances ___ Volunteering ___ Taking a vacation ___ Living in Hawaii Other things that make you happy (please specify) __________________________________________________________________________ 48. Do you have any thoughts on aging and caregiving programs in the State of Hawaii (current programs or suggestions for development of new programs? ___ No ___ Yes, please share your thoughts ______________________________________________________________________ ______________________________________________________________________ Thank you for taking the time to complete this survey.