First, the survey was pilot tested with older adults from the same source as the sample. Feedback about phrasing of questions and suggestions for additional questions were incorporated into the final survey. The final survey was translated into Spanish by a professional translator and back-translated to English by a second professional translator, with minor modifications as needed. The Spanish survey was pilot tested and revised according to feedback from three Spanish-speaking adults, one of whom works with the sample population. At the end of the regular health screening, the nurse conducting the screening asked each participant to consider participating in the study. For interested individuals, the research interviewer completed the informed consent process. All survey questions were administered orally in a quiet, separate area at the health screening location. Other than education level and overall perceived health, all other demographic and health related information was recorded from the nurse’s health screening forms (with participants’ written permission).