Southern Crescent
Area Agency On Aging
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What do you anticipate your needs will be at retirement?
The Southern Crescent Area Agency on Aging is interested in anticipated future needs of community retirees. This information will help Southern Crescent plan for future service needs.
What county do you live in?:
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Butts
Carroll
Coweta
Heard
Lamar
Meriwether
Pike
Spalding
Troup
Upson
Other Georgia County
Other County Outside Georgia
What state do you live in?:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
When you are 70, or when you retire, what will you need other than money?:
Is it likely, after you retire, you will be supporting/caring for someone else such as grandchildren, elderly parents, or family members with disabilities?:
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Yes
No
If yes, briefly comment on your anticipated situation.:
If you had a disability and were unable to walk or bathe yourself, would you have anyone to help you with your daily needs?:
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Yes
No
If No, how would you obtain assistance?:
What other services do you imagine you might need?:
Please indicate your age category.:
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50+
40-50
30-40
20-30
List any additional comments you may have here.:
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