Copy of Community survey

Thank you for taking the time to complete this survey. The purpose of the survey is to find out more about the needs of our community as members age and their abilities change. We want to learn more about your current situation, any gaps that you currently experience, and what you anticipate your needs will be in the future. There are two parts to the survey. The first part focuses on your current and future needs, the second part focuses on the redevelopment of the Louis Brier Home and Hospital.The results of the survey will only be shared with Jewish organizations that currently offer programs and services for older community members. As there is no identifying information in this survey all responses will remain anonymous. Please complete the survey as thoroughly as possible. Your responses really matter to us.

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* 1. Housing options. As your needs and abilities change over time, do you feel that your current housing will be appropriate?

Yes

Don't know at this time

Other (please specify)

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* 2. If your answer to the previous question is "No", what changes do you anticipate having to make to your current living arrangements? Check all that apply.

Stay in my existing home and make physical modifications

Sell my existing home and downsize to a smaller home on one floor

Stay in my home and seek help from adult children, family or friends

Stay in my home and seek help from a community agency (home support services)

Stay in my home and hire a live-in caregiver

Find less expensive rental housing

Move to supportive housing where additional services are provided

Other (please specify)

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* 3. If your needs and abilities change over time and you need to move into another type of housing, how important are the following factors in choosing another living arrangement?

	Very important	Important	Somewhat important	Not important	Don't know at this time
Operated by the Jewish community	Operated by the Jewish community Very important	Operated by the Jewish community Important	Operated by the Jewish community Somewhat important	Operated by the Jewish community Not important	Operated by the Jewish community Don't know at this time
Include Jewish programs and services	Include Jewish programs and services Very important	Include Jewish programs and services Important	Include Jewish programs and services Somewhat important	Include Jewish programs and services Not important	Include Jewish programs and services Don't know at this time
Near to Jewish organizations and/or synagogues	Near to Jewish organizations and/or synagogues Very important	Near to Jewish organizations and/or synagogues Important	Near to Jewish organizations and/or synagogues Somewhat important	Near to Jewish organizations and/or synagogues Not important	Near to Jewish organizations and/or synagogues Don't know at this time
Enable me to be with other Jews	Enable me to be with other Jews Very important	Enable me to be with other Jews Important	Enable me to be with other Jews Somewhat important	Enable me to be with other Jews Not important	Enable me to be with other Jews Don't know at this time
Provide Jewish holiday/shabbat programming	Provide Jewish holiday/shabbat programming Very important	Provide Jewish holiday/shabbat programming Important	Provide Jewish holiday/shabbat programming Somewhat important	Provide Jewish holiday/shabbat programming Not important	Provide Jewish holiday/shabbat programming Don't know at this time
Can continue to live with my spouse/partner	Can continue to live with my spouse/partner Very important	Can continue to live with my spouse/partner Important	Can continue to live with my spouse/partner Somewhat important	Can continue to live with my spouse/partner Not important	Can continue to live with my spouse/partner Don't know at this time
Near to family members	Near to family members Very important	Near to family members Important	Near to family members Somewhat important	Near to family members Not important	Near to family members Don't know at this time
Offer various amenities (pool, gym, fitness programs)	Offer various amenities (pool, gym, fitness programs) Very important	Offer various amenities (pool, gym, fitness programs) Important	Offer various amenities (pool, gym, fitness programs) Somewhat important	Offer various amenities (pool, gym, fitness programs) Not important	Offer various amenities (pool, gym, fitness programs) Don't know at this time
Offer an array of support services (nursing, medication management, prepared meals)	Offer an array of support services (nursing, medication management, prepared meals) Very important	Offer an array of support services (nursing, medication management, prepared meals) Important	Offer an array of support services (nursing, medication management, prepared meals) Somewhat important	Offer an array of support services (nursing, medication management, prepared meals) Not important	Offer an array of support services (nursing, medication management, prepared meals) Don't know at this time

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* 4. How interested are you in the following housing options?

	Very interested	Interested	Somewhat interested	Not interested	Don't know what this option provides
Co-housing models	Co-housing models Very interested	Co-housing models Interested	Co-housing models Somewhat interested	Co-housing models Not interested	Co-housing models Don't know what this option provides
Home-sharing	Home-sharing Very interested	Home-sharing Interested	Home-sharing Somewhat interested	Home-sharing Not interested	Home-sharing Don't know what this option provides
Private retirement residence	Private retirement residence Very interested	Private retirement residence Interested	Private retirement residence Somewhat interested	Private retirement residence Not interested	Private retirement residence Don't know what this option provides
Supportive housing	Supportive housing Very interested	Supportive housing Interested	Supportive housing Somewhat interested	Supportive housing Not interested	Supportive housing Don't know what this option provides
Assisted Living	Assisted Living Very interested	Assisted Living Interested	Assisted Living Somewhat interested	Assisted Living Not interested	Assisted Living Don't know what this option provides

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* 5. Transportation needs: What transportation services do you anticipate accessing to stay connected to programs and services?

Continue to drive my own vehicle

Use public transit or skytrain

Use taxis or HandyDART

Use volunteer drivers

Rely on friends and family

Hire a driver

I don't know what my options are

Other (please specify)

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* 6. Are you currently a caregiver to a friend or family member?

Yes

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* 7. If your answer to the previous question is "Yes", which of the following programs or services do you use in your care-giving role? Check all that apply.

Jewish Family Services

Better at home

Adult day Services

Public Health Services

Jewish Community Centre

Seniors programs in the Jewish community

Community Centre in your neighbourhood

Seniors services in your neighbourhood

I don't know what supports are available

I am not using any programs and services at this time

I am not a caregiver at this time

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* 8. If you are a caregiver and are accessing some programs and services in the Jewish community, are there sufficient supports to help you fulfill this role?

Yes

Don't have any identified needs at this time

Not applicable

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* 9. If your answer to Question 8 was "No", what services would you like to see offered in the Jewish community, that are not offered now.

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* 10. Do you currently use any of the following community services for yourself? Check all that apply

Jewish Family Services

Better at Home

Adult Day Services

Community programs (Kehila, JCC, Jewish Seniors Alliance, Peretz Centre)

Synagogue programs

Public health programs

Seniors centre in your neighbourhood

Neighbourhood House

Not applicable at this time

Other (please specify)

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* 11. Social Connections. What factors do you think might get in the way of you establishing or maintaining strong social connections? Check all that apply.

Lack of adequate retirement income

Lack of access to suitable transportation

Living too far way from appropriate programs and services

Living too far away from family or friends

Lack of information about appropriate programs and services

Poor health

I don't anticipate that there will be any difficulties

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* 12. Financial security: Are you concerned about the adequacy of your retirement income to enable you to: Check all that apply.

Purchase nutritious food

Have access to suitable housing

Participate in social/recreational activities

Stay Involved in Jewish community life (synagogue, JCC, film or book festival etc)

Participate in seniors programs

Meet medical/dental needs

Access to transportation

Leave a legacy to my children and/or grandchildren

Don't have any financial concerns at this time

Other (please specify)

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* 13. Do you have the following in place? Check all that apply.

Power of Attorney

Advance Directives

Representation Agreements

An up to date will

I intend to do so in the near future

I am not familiar with how to make these arrangements

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* 14. Please indicate your current status from the list below. Check all that apply.

Caregiver for a parent or in-law

Caregiver for your spouse/partner

Caregiver for an adult child

Adult child of a Louis Brier Home and Hospital or Weinberg resident

Spouse, partner, or family member of a Louis Brier Home and Hospital or Weinberg resident

Other (please specify)

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* 15. When your circumstances change and you require more care and supports in your daily living that living in the community can provide, please rank your preferred living arrangements from 1 (least preferred) to 4 (more preferred).

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* 16. When circumstances changes and more supports are required to meet your daily needs, how likely is it that the preferred choice would be a redeveloped Weinberg Residence located on 41st and Oak.

Very likely

Likely

Somewhat likely

Neither likely nor unlikely

Somewhat unlikely

Unlikely

Very unlikely

Weinberg Residence would not be a preferred choice.

Don't know at this time

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* 17. When circumstances change and 24 hour nursing care is required, how likely is it that the preferred choice would be a redeveloped Louis Brier Home and Hospital on the 41st and Oak location

Very likely

Likely

Somewhat likely

Neither likely nor unlikely

Somewhat unlikely

Unlikely

Very unlikely

Don't know at this time

Louis Brier Home and Hospital would not be a preferred choice

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* 18. How important are the following factors when considering your preferred facility?

	Very important	Important	Somewhat important	Not important	Neutral
Operates as a Jewish facility	Operates as a Jewish facility Very important	Operates as a Jewish facility Important	Operates as a Jewish facility Somewhat important	Operates as a Jewish facility Not important	Operates as a Jewish facility Neutral
Jewish programs and services available on site	Jewish programs and services available on site Very important	Jewish programs and services available on site Important	Jewish programs and services available on site Somewhat important	Jewish programs and services available on site Not important	Jewish programs and services available on site Neutral
Jewish religious services on site	Jewish religious services on site Very important	Jewish religious services on site Important	Jewish religious services on site Somewhat important	Jewish religious services on site Not important	Jewish religious services on site Neutral
Dementia care on site	Dementia care on site Very important	Dementia care on site Important	Dementia care on site Somewhat important	Dementia care on site Not important	Dementia care on site Neutral
Caregiver respite programs and services	Caregiver respite programs and services Very important	Caregiver respite programs and services Important	Caregiver respite programs and services Somewhat important	Caregiver respite programs and services Not important	Caregiver respite programs and services Neutral
End of life programs	End of life programs Very important	End of life programs Important	End of life programs Somewhat important	End of life programs Not important	End of life programs Neutral
Post hospital and rehabilitation services	Post hospital and rehabilitation services Very important	Post hospital and rehabilitation services Important	Post hospital and rehabilitation services Somewhat important	Post hospital and rehabilitation services Not important	Post hospital and rehabilitation services Neutral
Adult day programs	Adult day programs Very important	Adult day programs Important	Adult day programs Somewhat important	Adult day programs Not important	Adult day programs Neutral
Family care programs	Family care programs Very important	Family care programs Important	Family care programs Somewhat important	Family care programs Not important	Family care programs Neutral
Companion programs on site	Companion programs on site Very important	Companion programs on site Important	Companion programs on site Somewhat important	Companion programs on site Not important	Companion programs on site Neutral
Spouse/partner who requires a different level of care can live in the same facility	Spouse/partner who requires a different level of care can live in the same facility Very important	Spouse/partner who requires a different level of care can live in the same facility Important	Spouse/partner who requires a different level of care can live in the same facility Somewhat important	Spouse/partner who requires a different level of care can live in the same facility Not important	Spouse/partner who requires a different level of care can live in the same facility Neutral

Other (please specify)

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* 19. If you were moving to a facility where all of your meals were provided, how important would it be to access the following meal options. Check all that apply.

	Very important	Important	Somewhat important	Not important	Neutral
Kosher under supervision	Kosher under supervision Very important	Kosher under supervision Important	Kosher under supervision Somewhat important	Kosher under supervision Not important	Kosher under supervision Neutral
Kosher without supervision	Kosher without supervision Very important	Kosher without supervision Important	Kosher without supervision Somewhat important	Kosher without supervision Not important	Kosher without supervision Neutral
Kosher style (separation of milk and meat and no pork and shellfish)	Kosher style (separation of milk and meat and no pork and shellfish) Very important	Kosher style (separation of milk and meat and no pork and shellfish) Important	Kosher style (separation of milk and meat and no pork and shellfish) Somewhat important	Kosher style (separation of milk and meat and no pork and shellfish) Not important	Kosher style (separation of milk and meat and no pork and shellfish) Neutral
No shellfish or pork	No shellfish or pork Very important	No shellfish or pork Important	No shellfish or pork Somewhat important	No shellfish or pork Not important	No shellfish or pork Neutral
Regular menu	Regular menu Very important	Regular menu Important	Regular menu Somewhat important	Regular menu Not important	Regular menu Neutral
Vegetarian or vegan options	Vegetarian or vegan options Very important	Vegetarian or vegan options Important	Vegetarian or vegan options Somewhat important	Vegetarian or vegan options Not important	Vegetarian or vegan options Neutral

Other (please specify)

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* 20. If having Jewish religious services onsite is important, what types of services would you attend?

Orthodox/Traditional

Conservative/Egalitarian

Reform

Renewal

Don't have a preference

Not applicable to me

Other (please specify)

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* 21. If having access to Jewish programs and services onsite is important, what types of programs and services would be of interest? Check all that apply.

Jewish holiday programming (Chanukah, Purim, Rosh Hashonah)

Passover Seders

Israel Independence Day celebrations

Jewish or Israeli films

Jewish music

Jewish history and traditions

Jewish learning with Rabbis and educators

A combination of Jewish and non-Jewish programs

Other (please specify)

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* 22. If having a range of programs and amenities is important, what types of programs and amenities would you like to see: Check all that apply.

Exercise classes

Computer room

Arts and crafts

Music program

Book club

Indoor/outdoor gardening

Speakers on a variety of topics

Other (please specify)

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* 23. If there was one thing that the Jewish community could invest in to improve the quality of life for older community members, in your opinion what would that be?

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* 24. Please indicate your age range:

19 - 34

35-44

45 - 54

55 - 65

66 - 75

76-80

81 - 85

86-90

91 and above

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* 25. What is your preferred language for programs and services?

English

Hebrew

Russian

Spanish

Yiddish

Other (please specify)

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* 26. What is your gender?

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* 27. Please indicate your current marital status

Married or living with a partner

Separated or divorced

Widowed

Single with adult children

Single without children

Other (please specify)

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* 28. Please indicate your current annual income level.

Under $20,000

$21,000 - 45,000

$46,000 - 60,000

$61,000 - $75,000

Over $75,000

Prefer not to disclose

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* 29. Please indicate your current postal code.

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* 30. Thank you for taking the time to complete the survey.

Date / Time

Date