Chatham County Council on Aging 2012 Survey

Please answer the following questions to the best of your ability:

Have you ever visited one of the Senior Centers in Chatham County?:

Yes

If yes, which one?:

Pittsboro

Siler City

What was the purpose of the visit?:

What are the reason(s) that you do or do not regularly attend programs at the Senior Center? (check all that apply):

I do not know what is offered.

I do not know where any of the programs are located.

I do not have transportation.

I do not know anyone who participates.

I do not think that they offer anything that would interest me.

I'm too busy working.

I'm too busy taking care of spouse, grandchildren, other family members

I'm too busy volunteering at my church or other organization

Other reasons?:

Are you familiar with any of the following Senior Center Programs or Services? (check all that apply):

Home Delivered Meals

Senior Center Lunches

In-Home Aide Program

Fitness and Wellness Programs

Caregiver Support Program

Diabetes Support Group

Group Transportation

Medical Transporation

Dances

Classes (line dancing, Shag, Art, etc.)

Travelers Club

I would come to a center if they offered: (check all that apply):

More exercise opportunities such as (enter in textbox below)

More health promotion activities such as (enter in textbox below)

Different classes, events such as (enter in textbox below)

Please list examples of additional programs and services that you would like to see offered:

Contact me if any of the above are offered:

Yes

Name:

Telephone:

Email: