Duluth Age-Friendly: Social Connection Survey

	Not sure	Never	Rarely	Sometimes	Often
You get the social and emotional support that you need (please include support from others)	You get the social and emotional support that you need (please include support from others) Not sure	You get the social and emotional support that you need (please include support from others) Never	You get the social and emotional support that you need (please include support from others) Rarely	You get the social and emotional support that you need (please include support from others) Sometimes	You get the social and emotional support that you need (please include support from others) Often
A sense of belonging or connectedness outside of yourself/family	A sense of belonging or connectedness outside of yourself/family Not sure	A sense of belonging or connectedness outside of yourself/family Never	A sense of belonging or connectedness outside of yourself/family Rarely	A sense of belonging or connectedness outside of yourself/family Sometimes	A sense of belonging or connectedness outside of yourself/family Often

Not sure

Never

Rarely

Sometimes

Often

You get the social and emotional support that you need (please include support from others)

You get the social and emotional support that you need (please include support from others) Not sure

You get the social and emotional support that you need (please include support from others) Never

You get the social and emotional support that you need (please include support from others) Rarely

You get the social and emotional support that you need (please include support from others) Sometimes

You get the social and emotional support that you need (please include support from others) Often

A sense of belonging or connectedness outside of yourself/family

A sense of belonging or connectedness outside of yourself/family Not sure

A sense of belonging or connectedness outside of yourself/family Never

A sense of belonging or connectedness outside of yourself/family Rarely

A sense of belonging or connectedness outside of yourself/family Sometimes

A sense of belonging or connectedness outside of yourself/family Often

	Never	Rarely	Sometimes	Often
Community center or senior center	Community center or senior center Never	Community center or senior center Rarely	Community center or senior center Sometimes	Community center or senior center Often
Coffee shop, bar, or restaurant	Coffee shop, bar, or restaurant Never	Coffee shop, bar, or restaurant Rarely	Coffee shop, bar, or restaurant Sometimes	Coffee shop, bar, or restaurant Often
Homes of friends, family, or neighbors	Homes of friends, family, or neighbors Never	Homes of friends, family, or neighbors Rarely	Homes of friends, family, or neighbors Sometimes	Homes of friends, family, or neighbors Often
In your own home	In your own home Never	In your own home Rarely	In your own home Sometimes	In your own home Often
Parks or places to recreate, walk, or sit outside in nature or gardens	Parks or places to recreate, walk, or sit outside in nature or gardens Never	Parks or places to recreate, walk, or sit outside in nature or gardens Rarely	Parks or places to recreate, walk, or sit outside in nature or gardens Sometimes	Parks or places to recreate, walk, or sit outside in nature or gardens Often
Religious centers	Religious centers Never	Religious centers Rarely	Religious centers Sometimes	Religious centers Often
Schools	Schools Never	Schools Rarely	Schools Sometimes	Schools Often
Theatres, museums, or entertainment venues	Theatres, museums, or entertainment venues Never	Theatres, museums, or entertainment venues Rarely	Theatres, museums, or entertainment venues Sometimes	Theatres, museums, or entertainment venues Often

Never

Rarely

Sometimes

Often

Community center or senior center

Community center or senior center Never

Community center or senior center Rarely

Community center or senior center Sometimes

Community center or senior center Often

Coffee shop, bar, or restaurant

Coffee shop, bar, or restaurant Never

Coffee shop, bar, or restaurant Rarely

Coffee shop, bar, or restaurant Sometimes

Coffee shop, bar, or restaurant Often

Homes of friends, family, or neighbors

Homes of friends, family, or neighbors Never

Homes of friends, family, or neighbors Rarely

Homes of friends, family, or neighbors Sometimes

Homes of friends, family, or neighbors Often

In your own home

In your own home Never

In your own home Rarely

In your own home Sometimes

In your own home Often

Parks or places to recreate, walk, or sit outside in nature or gardens

Parks or places to recreate, walk, or sit outside in nature or gardens Never

Parks or places to recreate, walk, or sit outside in nature or gardens Rarely

Parks or places to recreate, walk, or sit outside in nature or gardens Sometimes

Parks or places to recreate, walk, or sit outside in nature or gardens Often

Religious centers

Religious centers Never

Religious centers Rarely

Religious centers Sometimes

Religious centers Often

Schools

Schools Never

Schools Rarely

Schools Sometimes

Schools Often

Theatres, museums, or entertainment venues

Theatres, museums, or entertainment venues Never

Theatres, museums, or entertainment venues Rarely

Theatres, museums, or entertainment venues Sometimes

Theatres, museums, or entertainment venues Often

	Never	Rarely	Sometimes	Often
In-person	In-person Never	In-person Rarely	In-person Sometimes	In-person Often
Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc.	Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Never	Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Rarely	Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Sometimes	Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Often
Telephone	Telephone Never	Telephone Rarely	Telephone Sometimes	Telephone Often
Text	Text Never	Text Rarely	Text Sometimes	Text Often
Email	Email Never	Email Rarely	Email Sometimes	Email Often
Social Media	Social Media Never	Social Media Rarely	Social Media Sometimes	Social Media Often

Never

Rarely

Sometimes

Often

In-person

In-person Never

In-person Rarely

In-person Sometimes

In-person Often

Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc.

Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Never

Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Rarely

Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Sometimes

Video-chat through platforms like Zoom, Facetime, Google Meet, or Skype, etc. Often

Telephone

Telephone Never

Telephone Rarely

Telephone Sometimes

Telephone Often

Text

Text Never

Text Rarely

Text Sometimes

Text Often

Email Never

Email Rarely

Email Sometimes

Email Often

Social Media

Social Media Never

Social Media Rarely

Social Media Sometimes

Social Media Often

	Never	Rarely	Sometimes	Often
Parks and recreation events/activities	Parks and recreation events/activities Never	Parks and recreation events/activities Rarely	Parks and recreation events/activities Sometimes	Parks and recreation events/activities Often
Faith/Worship activities	Faith/Worship activities Never	Faith/Worship activities Rarely	Faith/Worship activities Sometimes	Faith/Worship activities Often
Community events	Community events Never	Community events Rarely	Community events Sometimes	Community events Often
Offerings/events through work	Offerings/events through work Never	Offerings/events through work Rarely	Offerings/events through work Sometimes	Offerings/events through work Often
Volunteer opportunities/events	Volunteer opportunities/events Never	Volunteer opportunities/events Rarely	Volunteer opportunities/events Sometimes	Volunteer opportunities/events Often
Online games	Online games Never	Online games Rarely	Online games Sometimes	Online games Often
Education events (workshops, classes, etc.)	Education events (workshops, classes, etc.) Never	Education events (workshops, classes, etc.) Rarely	Education events (workshops, classes, etc.) Sometimes	Education events (workshops, classes, etc.) Often
Activities through a university or college	Activities through a university or college Never	Activities through a university or college Rarely	Activities through a university or college Sometimes	Activities through a university or college Often
Civic group	Civic group Never	Civic group Rarely	Civic group Sometimes	Civic group Often

Never

Rarely

Sometimes

Often

Parks and recreation events/activities

Parks and recreation events/activities Never

Parks and recreation events/activities Rarely

Parks and recreation events/activities Sometimes

Parks and recreation events/activities Often

Faith/Worship activities

Faith/Worship activities Never

Faith/Worship activities Rarely

Faith/Worship activities Sometimes

Faith/Worship activities Often

Community events

Community events Never

Community events Rarely

Community events Sometimes

Community events Often

Offerings/events through work

Offerings/events through work Never

Offerings/events through work Rarely

Offerings/events through work Sometimes

Offerings/events through work Often

Volunteer opportunities/events

Volunteer opportunities/events Never

Volunteer opportunities/events Rarely

Volunteer opportunities/events Sometimes

Volunteer opportunities/events Often

Online games

Online games Never

Online games Rarely

Online games Sometimes

Online games Often

Education events (workshops, classes, etc.)

Education events (workshops, classes, etc.) Never

Education events (workshops, classes, etc.) Rarely

Education events (workshops, classes, etc.) Sometimes

Education events (workshops, classes, etc.) Often

Activities through a university or college

Activities through a university or college Never

Activities through a university or college Rarely

Activities through a university or college Sometimes

Activities through a university or college Often

Civic group

Civic group Never

Civic group Rarely

Civic group Sometimes

Civic group Often

Question Title

* 5. List your top 3 favorite activities and where you did them over the last year (e.g. Fishing on the St. Louis River or chess club at the local community center)

Question Title

* 6. How often do you feel the following?

	Not sure	Never	Rarely	Sometimes	Often
Lack of companionship	Lack of companionship Not sure	Lack of companionship Never	Lack of companionship Rarely	Lack of companionship Sometimes	Lack of companionship Often
Left out	Left out Not sure	Left out Never	Left out Rarely	Left out Sometimes	Left out Often
Isolated/Lonely	Isolated/Lonely Not sure	Isolated/Lonely Never	Isolated/Lonely Rarely	Isolated/Lonely Sometimes	Isolated/Lonely Often
Disconnected from your family/community	Disconnected from your family/community Not sure	Disconnected from your family/community Never	Disconnected from your family/community Rarely	Disconnected from your family/community Sometimes	Disconnected from your family/community Often

Question Title

* 7. What, if any, barriers do you experience that prevent you from having the level of connection that you would like to have? (E.g. Transportation, lack of activities, no internet, etc.)

Question Title

* 8. Do you feel like there are many opportunities in Duluth to connect through the activities/places that you are interested in?

Question Title

* 9. What connection opportunities are there and/or what might be missing in Duluth? (a specific organization, event, group, etc.)?

Question Title

* 10. What, if any, groups, activities, events, spaces, and/or volunteers opportunities would you be interested in joining? (e.g. joining a volunteer event to build a garden bed in a community garden).

Duluth Age-Friendly: Social Connection Survey

Social Participation and Inclusion

Question Title

* 1. How often do you feel the following?

Question Title

* 2. How often do you connect with friends, family, and/or community in the following places?

Question Title

* 3. How often do you have contact with family, friends, or neighbors (who do not live with you) via the following means?

Question Title

* 4. How often do you participate in the following activities?

Question Title

* 5. List your top 3 favorite activities and where you did them over the last year (e.g. Fishing on the St. Louis River or chess club at the local community center)

Question Title

* 6. How often do you feel the following?

Question Title

* 7. What, if any, barriers do you experience that prevent you from having the level of connection that you would like to have? (E.g. Transportation, lack of activities, no internet, etc.)

Question Title

* 8. Do you feel like there are many opportunities in Duluth to connect through the activities/places that you are interested in?

Question Title

* 9. What connection opportunities are there and/or what might be missing in Duluth? (a specific organization, event, group, etc.)?

Question Title

* 10. What, if any, groups, activities, events, spaces, and/or volunteers opportunities would you be interested in joining? (e.g. joining a volunteer event to build a garden bed in a community garden).

Question Title

* 11. Please share any other thoughts or information related to social participation in your community.