Valley Triad Senior Safety Survey

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Please correct the field(s) marked in red below:

Your comments are very important and help Valley T.R.I.A.D. to focus efforts where they are needed most. All answers to this survey are voluntary. Select the answer that best matches your feelings:
1
Do you fear going out after dark?
2
Do you fear you will become a victim of identity theft or other scams?
3
How concerned are you about vandalism in your neighborhood?
4
Do you feel there is adequate transportation for seniors in the community?
5
How concerned are you about your home being burglarized?
6
How concerned are you about your auto being stolen?
7
Do you ever feel a sense of personal isolation?
8
Do you ever feel neglected by family or friends?
9
Do you fear personal abuse?
10
In the past five years, do you believe violent crime in your community has:
11
I or someone I know over the age of 55 has been a victim of the following crime or crimes:
12
How responsive do you feel local law enforcement is in response to seniors' needs in your community?
13
To what extent do you feel that there is a need for improvement and increased interaction between seniors and law enforcement in your community?
14
To what extent are you aware of senior programs in your area?
15
Have you heard of the organization called TRIAD - Seniors and Law Enforcement Together?
16
Your comments are welcome and very important.  Additional Comments:
17
Gender:
18
Age:
19
Living Arrangement:
20
Zip Code:
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