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Jan 24, 2024 Older Adult Community Assesment Table

Sheet1

Service
Distance
Answers to questions
Notes

Pharmacy

Grocery Store

Bank

Primary Care Physician

Hospital

Dentist

Place of Worship

Resources if unable to drive

Senior Center

Meal delivery service

Sidewalks

Parks

Veterinarian

Pet supply store

Neighborhood crime rate

Emergency Services, fire, police, EMTs

Lawn service

House cleaning

&”Times New Roman,Regular”&16Community Assessment Required Template

pap 12/2020

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