Please answer the questions to the best of your ability. Your feedback will be confidential and no individual comments will be attributed to you. We appreciate your help in identifying how the recent COVID-19 crisis has impacted the lives of older residents.

Question Title

* 1. Including yourself, how many people living in your household are currently 65 years or older?

Question Title

* 2. Overalll, how would you rate the impact social distancing has had on your life since mid-March?

Question Title

* 3. What are the biggest challenges you are facing from the COVID-19 closures?

Question Title

* 4. How would you rate your general CURRENT mood during the COVID-19 crisis?

Question Title

* 5. How would you compare your mood now to before COVID-19?

Question Title

* 6. How would you rate you CURRENT physical health?

Question Title

* 7. How has your overall health changed since social distancing started?

Question Title

* 8. How would you rate your CURRENT level of stress?

Question Title

* 9. How would you compare your stress level now to before COVID19 and social distancing?

Question Title

* 10. Have you been able to exercise while social distancing?

Question Title

* 11. How many hours a week do you spend in conversation, either in person, on the phone, or on a video call?

Question Title

* 12. How many hours per week do you spend on some kind of social media (Facebook, Instagram, Twitter, Pinterest, Youtube, etc.)?

Question Title

* 13. What would you like to be able to do while at home that you cannot do now? Check all that apply

Question Title

* 14. What are you most looking forward to when things begin to return to "normal"? Check all that apply

Question Title

* 15. As things begin to reopen, how confident are you about returning to activities:

  Not confident - will not do Neutral Very Confident - will attend as I used to
Your Congregation/ house of worship
Libraries
Recreation programs - indoors
Recreation programs - outside (pool, tennis, etc)
Outdoor community events - concerts, street fairs, festivals, etc
Grocery shopping
Other (non-grocery) shopping
Flying on an airplane for a vacation
Taking public transportation (bus, train) 

Question Title

* 16. What are your greatest concerns about things opening up again? Check all that apply

DEMOGRAPHICS

Question Title

* 17. What is your age?

Question Title

* 18. What is your race/ethnicity

Question Title

* 19. Are you male or female?

Question Title

* 20. Do you currently reside in Westwood?

Question Title

* 21. Your residence:

Question Title

* 22. Which of the following best describes your current relationship status?

 
THANK YOU FOR COMPLETING THIS SURVEY

T