We would like to find out about your community and what you’ll need as you get older to make your community a great place to live. Your views are important and we would greatly appreciate your participation in this survey. All your responses will be kept entirely confidential. This survey will take about 20 minutes to complete.

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1. I am answering for:

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2. I am a resident of:

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3. How long have you lived in your community?

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4. How long have you lived in your current residence?

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5. How would you rate your current community as a place for people to live as they age?

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6. Thinking about your future years, are you more likely to move to a different community, move to a different residence within your current community or stay in your current residence and never move?  [CHECK ONLY ONE]

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7. Some people find that they need or want to move out of their home as they get older.  If you were to consider moving out of your current residence, would the following be a major factor, a minor factor or not a factor at all in your decision to move?

  Wanting a smaller size home Wanting a larger size home The cost of maintaining your current residence Wanting a home that will help you live independently as you age, for example a home without stairs
Need or want to move out of the home because...

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8. Some people find that they need or want to move out of their community as they get older.  If you were to consider moving out of your current community, would the following be a major factor, a minor factor or not a factor at all in your decision to move?

  Your personal safety or security concerns Wanting to move to an area that has better health care facilities Wanting to be closer to family Needing more access to public transportation Wanting to live in a different climate Wanting to live in an area that has a lower cost of living Wanting to live in an area with better opportunities for social interaction
Need or want to move out of their community because...

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9. How important is it for you to remain in your current community for as long as possible?

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10. Which of the following types of homes best describes where you currently live?  [CHECK ONLY ONE]

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11. Do you own or rent your primary home or do you have some other type of living arrangement like living with a family member or friend?

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12. How important is it for you to be able to live independently in your own home as you age?

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13. Some people find that they need to make modifications to their residence to enable them to stay there for as long as possible.  Does your current residence need any major repairs, modifications, or changes to enable you to stay there for as long as possible?

Homes, Public Buildings and Spaces

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14. Would you rate your community as excellent, very good, good, fair, poor, or not sure on having the following?

  Home modification and repair contractors who are trustworthy, do quality work and are affordable A home repair service for low-income and older adults that helps with things like roof repair Seasonal services such as lawn work for low income and older adults
Rate your community....

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15. Would you rate your community as excellent, very good, good, fair, poor, or not sure on having the following?

  Sidewalks that are in good condition, safe and accessible for wheelchairs or other assistive devices Well-lit, accessible, safe streets and intersections for all users Audio and visual pedestrian crossings Separate pathways for bicyclists and pedestrians Well-maintained streets Easy to read traffic signs Enforced speed limits
Rate your community....

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16. Would you rate your community as excellent, very good, good, fair, poor, or not sure on having the following?

  Well-maintained homes and properties Affordable housing options for adults of varying income levels Homes that are built with things like a no step entrance, wider doorways, first floor bedrooms Well maintained, safe low-income housing Well-maintained parks Safe parks Public buildings including restrooms that are accessible to people of different physical abilities Enough benches for resting in public areas like parks, along sidewalks and around public buildings Conveniently located emergency care centers
Rate your community....

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17. Would you rate your community as excellent, very good, good, fair, poor, or not sure on having the following?

  Well-maintained hospitals and health care facilities Neighborhood watch programs Conveniently located public parking lots and areas to park including handicapped parking Affordable public parking
Rate your community....
Transportation

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18. How do you usually get around your community for things like shopping, visiting the doctor, running errands, or other things?

  Walk Drive yourself Have others drive you Take a taxi Use a ride share company such as Uber or Lyft Use a special transportation service, such as one for seniors or persons with disabilities Use public transportation Ride a bike Some other way
How do you get around the community...

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19. Would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  Accessible and convenient public transportation Affordable public transportation Well-maintained public transportation vehicles Timely public transportation Safe public transportation stops or areas that are accessible to people of varying abilities Special transportation services for people with disabilities and older adults
Rate your community....
Health and Wellness

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20. Thinking now about health care professionals in your community, would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  Well-trained certified home health care providers Affordable home health care providers A variety of health care professionals including specialists Health care professionals who speak my primary language Respectful and helpful hospital and clinic staff
Rate your community....

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21. Thinking now about health and wellness services in your community, would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  Affordable wellness programs in areas such as nutrition, smoking cessation and weight control Affordable fitness activities specifically geared towards older adults Conveniently located health and social services A service that provides people to help seniors easily find and access health and supportive services Affordable home care services including personal care and housekeeping Easily understandable and helpful local hospital or clinic answering services
Rate your community....
Social Participation, Inclusion and Education Opportunities

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22. How often do you have contact with family, friends, or neighbors who do not live with you?

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23. How often do you feel the following?

  I lack companionship I feel left out I feel isolated from others
Often, Sometimes, Rarely, Never, Not Sure (select in drop down)

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24. If you were in trouble, do you have friends or family who can help you at any time of the day or night?

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25. Do you use the following sources for continuing education or self-improvement classes or workshops in your community?

  Parks and Recreation Faith community Local organizations or businesses Community Center Senior Center Offerings through my work Online programs Some other source I do NOT participate in any continuing education / self-improvement classes
Yes or No...

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26. Would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  Conveniently located entertainment venues Activities geared specifically towards older adults Activities that offer senior discounts Activities that are affordable to all residents Activities that involve both younger and older people A variety of cultural activities for diverse populations Local schools that involve older adults in events and activities Continuing education classes or social clubs to pursue new interests, hobbies or passions Driver education or refresher courses
Rate your community....
Volunteering and Civic Engagement

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27. Would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  A range of volunteer activities to choose from Volunteer training opportunities to help people perform better in their volunteer roles Opportunities for older adults to participate in decision making bodies such as community councils  Easy to find information on available local volunteer opportunities Transportation to and from volunteer activities for those who need it
Rate your community....
Job Opportunities

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28. Which of the following best describes your current employment status

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29. How likely is it that you will continue to work as long as possible, rather than choosing to retire and no longer work for pay?

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30. Do you need to return to work?

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31. Do you expect to return to work?

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32. Would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  A range of flexible job opportunities for older adults Job training opportunities for older adults who want to learn new job skills within their job Training in a different field of work Jobs that are adapted to meet the needs of people with disabilities Policies that ensure older adults can have equal opportunity to work as long as they want or need
Rate your community....
Community Information

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33. Would you turn to the following resources if you, a family member or friend needed information about services for older adults such as caregiving services, home delivered meals, home repair, medical transport, or social activities?

  Local Senior Centers Alameda Area Agency on Aging Family or friends Local nonprofit organizations AARP Faith-based organizations like churches or synagogues Internet Phonebook
Yes, No or Not sure

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34. Would you turn to the following resources if you, a family member or friend needed information about services for older adults such as caregiving services, home delivered meals, home repair, medical transport, or social activities?

  Your doctor or other health care professional Local government offices like the Health Department Library Some other source
Yes, No or Not sure

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35. Would you rate your community as excellent, very good, good, fair, poor or not sure on having the following?

  Access to community information in one central source Clearly displayed printed community information with large lettering Free access to computers and the Internet in public places such as the library or Senior Centers Community information that is delivered in person to people who may not be able to leave their home Community information that is in my primary language
Rate your community....
Demographics

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36. Gender

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37. What is your age as of your last birthday? [AGE IN YEARS]

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38. What is your current marital status?

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39. Self-identify your race/ethnicity:

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40. Check the primary language used in your household

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41. Besides you, do you have any of the following people living in your household?

  Child/children under 18 Child/children 18 or older Child/children away at college Parents Other adult relative, or tenant, or friend 18 or older
Ages in your household...

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42. In general, how would you rate your health?

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43. Does any disability, handicap, or chronic disease keep you or your spouse or partner from participating fully in work, school, housework, or other activities? [CHECK ONLY ONE]

A family caregiver is someone who provides care for a loved one who is ill, frail, elderly, or has a physical, mental, or emotional disability.  This care may include helping with personal needs like bathing or dressing, meals, household chores, shopping, transportation, managing medical care or finances, or even visiting regularly to see how they are doing.  (This person need not live with you.)

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44. Are you currently a family caregiver providing unpaid care to a loved one to help them take care of themselves?

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45. How likely is it that you will provide or continue to provide/unpaid care to one or more than one adult or child with special needs in the future?

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46. What is the highest level of education that you completed?

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47. What was your annual household income before taxes in 2021

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48. What is your 5-digit zip code?

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49. What would improve your quality of life?

Thank you very much for completing this survey. 
Your assistance in providing this information is very much appreciated.
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