Welcome to the State Unit on Aging's Customer Services and Supports Satisfaction Profile Survey, 2023.

This survey aims to gather feedback on your satisfaction with support services received in the past. The State Unit on Aging in the Department of Aging and Disability Services strives to target  underserved older adults to ensure equitable access, promote independence and well-being where they live. Support services offered to our customers include connecting to local services, congregate and home-delivered meals, in-home supports & services,  mental health support,  legal assistance, prevention and health promotion, supporting Caregivers, including grandparents, and transportation.

All information collected is confidential. Your feedback will help inform planning and policy decisions to advocate for services and supports for older adults and adults with disabilities in Connecticut. need in your community in the coming years, 2024-2027.  

Your participation in the survey is voluntary. 

Voluntary Consent: Please note, your voluntary participation in Services and Supports Satisfaction Profile Survey. All information collected is confidential and will be used for analysis and planning for the improvement of access to equitable services and supports to older adults in the State of Connecticut. 

Your feedback and response in this consumer satisfaction survey is very important.

Thank you for your participation.

 

Thank you for your participation. Please complete all questions and return to the ConnecticutAging and Disability Services State Unit on Aging:

Email response to:  AgingStatePlan@ct.gov 

Section 1: Customer Profile 

SECTION 2: Assessment of Social Service Access

Section 3: Assessment of Social Isolation 

Section 4: Assessment of Financial Constraints

Section 5: Assessment of Overall Customer Satisfaction 

Section 6: Assessment of Supports and Services Received.

Section 7: Assessment of Need for Additional Services and Supports

Contact Details:

If you indicated, "Yes" to any question and wish to share your contact details, please complete the form below. We will follow-up with you as soon as possible. Thank you.

28. If you indicated you would like to receive further information about assistance or would like to receive additional services and supports not mentioned in this survey, please complete you contact details below.

 

Thank you for your participation into the Connecticut State Plan on Aging Customer Services and Supports Satisfaction Profile Survey.

Please email us should you have any questions at: agingstateplan@ct.gov