We want to better understand the challenges faced by aging people on the North Island. 

We ask you to please take the time to do this short questionnaire.

This survey is completely anonymous. No personal information is recorded. You can skip any question you want.

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* 1. What town or municipality do you live in?

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* 2. What is your age group? 

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* 3. Who do you live with? (select all that apply)

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* 4. If you have a spouse or partner living with you, please indicate the age group of your partner or spouse.

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* 5. Does anyone in your home (including yourself) have a health condition that makes it difficult to get around inside the house, and into or out of the house?

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* 6. Do you have or need any of the following in your home? (Select all that apply)

  Have Need Don't have and don't need
At least one point of entry with only one or no steps 
A ramped entrance (instead of, or in addition to steps)
A front door wide enough for wheelchair passage (at least 32" clear)
A bathroom door wide enough for a wheelchair
Room to move a wheelchair in the bathroom
Room to move a wheelchair in the kitchen
Grab rails in the tub or shower
Grab rails near the toilet
A washroom on the main floor
A lifting device between floors

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* 7. Overall, how do you feel about your current housing situation?

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* 8. Do you own or rent your current home?

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* 9. How do you feel about the status your home? (please select all that apply)

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* 10. Do you either need or want to live in Senior's/Elders Housing at this time?

(Senior's/Elder housing being a place with social activities, meal options, and housekeeping services.)

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* 11. If in the future you did need supportive services (like meals, housekeeping, yard work or social activities) would you prefer to move to a smaller space to receive those, or stay in your own home and receive services there?

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* 12. If in the the future you anticipate downsizing and moving to a place with increased supports, when do you anticipate that may be?

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* 13. If you prefer to own your next home as a senior, what size and kind of home would you like? (With no additional supports)

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* 14. If you prefer to rent, which would you prefer?

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* 15. If you prefer to rent, how many bedrooms do you need? (with no additional supports)

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* 16. If you want/need to leave the area for later-in-life care and seniors housing, what is your reason for leaving? (Check all that apply)

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* 17. Please indicate the type of dwelling you are most interested in for seniors housing?

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* 18. If you moved into a shared or multi-kit seniors residence, what size housing unity would you need?

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* 19. In senior's housing, what are your needs or preferences for meal preparation?

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* 20. "Affordable housing" for rental properties refers to units will rents that are 65%-80% of the going market rate. These units are modest in size, design and amenities in comparison with market-rate units, and are rented to people with lower incomes.

If affordable housing for seniors were available, are you likely to apply for it?

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* 21. Please indicate if you are currently receiving any of the following supportive care services from an organization or from individuals. If you are not currently receiving supportive care but would like to, please indicate which services: (Remember: this survey is anonymous.)

  Currently Receiving  Not Receiving  Not receiving but would like to
Meals delivered 
Housework
Laundry
Home and Yard Maintenance
Driving and Transportation
Personal care (eg, bathing, dressing, hair, feet)
Medication supervision and other advanced home care assistance
Shopping for essentials (eg groceries)
Socialization program or Seniors Club

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* 22. Would you like to see a doctor specializing in Geriatric Care who either visits the region, or is able to meet you online through Telehealth?

Thank you for taking the time to take this survey on Seniors Housing Needs on the North Island!

If you feel as though you have affordability issues, problems with the condition or size of your house, we have a further survey you may wish to do that will help us in our advocacy efforts and/or funding requests for increased supportive housing. Please click this link to take our 5-8 minute "Housing and Homelessness: A Service Needs Assessment Survey." https://www.surveymonkey.com/r/XQT73T3

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