1.How long have you lived in Somers?

I do not live in Somers

2 years

3-5 years

6-15 years

15 or more years

2.What is your current age?

59 or younger

60-69

70-79

80-89

90 or older

3.Do you currently have….

Yes

No

I am not sure

medical insurance benefits?

Yes

No

I am not sure

mental health insurance benefits?

Yes

No

I am not sure

4.What type of insurance do you have? (Select all that apply)

Medicare Only

Medicare with Supplemental Plan

Medicare and Medicaid

AARP

Private Insurance Only (I.e., Anthem, Aetna, United)

Other

I don't know

I don't have insurance