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Surveys
2008
October
T
TCCAA Henry Senior Center/Focal Point Participant
TCCAA Henry Senior Center/Focal Point Participant
TCCAA Henry Senior Center/Focal Point Participant Survey
0%
Age
50-59
60-69
70-79
80-89
90 and Over
Gender
Female
Male
Race
Non-Minority
African American
Hispanic
American Indian
Native Hawaiian/Pacific Islander
Asian
Other
Household composition:
Alone
With your spouse
With your children
With other relatives
With non-relatives
How did you learn about our services
Brochure
Friend/relative
Media (TV,newspaper)
Church
Other
How long have you been using services at this center/focal point?
Less that 1 year
1-3 years
4-6 years
7 years and over
How often do you come to the senior center/focal point?
Less than once a month
1 to 3 times a month
1 time per week
2 to 4 times per week
5 times per week
How would you rate the services you recieve at this senior center/focal point?
Excellent
Good
Fair
Poor
N/A
Advocacy
Counseling
Congregate Meals
Education Programs
Information and Assistance
Transportation
Health Screening
Telephone Reassurance
Friendly Visiting
Health Promotion
Recreation
How would you rate the activities offered at the senior center?
Excellent
Good
Fair
Poor
N/A
Exercise Classes
Games
Arts & Crafts
Music/Dance
Field Trips
Computer Classes
Other Activities
What are the other activities?
How satisfied are you with the hours and days of operation of the senior center/focal point?
Very Satisfied
Satisfied
Dissatisfied
Do you find our staff courteous and professional?
Always
Usually
Sometimes
Rarely
Are you aware that you can make a donation toward our programs if you wish?
Yes
No
Has your life changed in anyway since you started attending the senior center/focal point?
Because of your participation at the center, do you feel that:
Most of the time
Sometimes
Rarely
You are able to socialize more
You have something to look forward to
You are more physically active
You learn about benifits and services for senior citizens
Overall, are you satisfied with the programs and services offered by the senior center?
Very Satisfied
Satisfied
Not Satisfied
How would you rate the quality of meals you get at the center?
Excellent
Very Good
Good
Fair
How would you rate the variety of meals you get at the center?
Excellent
Very Good
Good
Fair
How satisfied are you with the time the meal is served?
Very Satisfied
Satisfied
Not Satisfied
Write your comments on the meal service here:
Are there any additional services and/or activites that you would like the center to offer?
Please contact
[email protected]
if you have any questions regarding this survey.
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