Community Needs Survey for Boulevard Gardens

Community Needs Survey

Boulevard Gardens Co-op is working with Selfhelp Community Services to identify possible programs and services we could offer on-site for our older residents. If you or someone in your home is over the age of 60, please fill out this survey to help us better identify what our residents are interested in. It should only take 15 minutes. Thank you!

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* 1. What is the age of the oldest member of your household?

Under 60

60-74

75-84

85+

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* 2. Who do you live with?

I live alone

I live with a spouse/partner

family member(s)

pet

24 hour aide

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* 3. What is the Primary Language You speak at home?

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* 4. What is Your Annual Household Income?

less than $15,000

$15,001-$30,000

$31,000-$50,000

$50,001-70,000

over $70,001

prefer not to answer

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* 5. Do you currently take advantage of property tax abatement programs, such as SCHE or STAR?

Yes

I do not know what they are?

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* 6. Would you say your health is....

Excellent

Very Good

Good

Fair

Poor

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* 7. how often do you leave your home?

daily

1-2 times a week

monthly

almost never

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* 8. Do you have someone who can help you with the following?

Running errands

Sorting mail

Food shopping

Going to medical appointments

Cleaning house

bill payments

translating documents

care for a pet

Other (please specify)

None of the above

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* 9. I have enough money to buy the food I need for the month

Always

Sometimes

Never

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* 10. I receive meals on wheels

Yes

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* 11. How do you get around?

I drive myself

I have a friend/family member drive me

I use a car service

I use public transportation

I have Access-a-Ride

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* 12. Prior to the pandemic, where did you like to spend your time?

with friends and family

at a local senior center

at a place of worship

at a library

at a civic association

attending concerts, shows, or other cultural activities

traveling (locally, or long distance)

Other (please specify)

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* 13. what types of activities would you attend they were available here?

adjusting to retirement/life planning

hobby groups (knitting, gardening, book club)

healthy eating/cooking/shopping tips

learning more about my community

exercise classes

socializing/meeting new people

local trips

technology classes

more activities with other organizations in the community

more cultural activities (concerts, lectures, arts programs)

Other (please specify)

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* 14. If you are using technology at home, please tell us what you use it for

Zoom/Facetime

Facebook

Twitter

Online purchasing/banking

Reading the news/browsing the internet

watching videos or online content

Other (please specify)

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* 15. what type of day would you prefer the activities to be?

mornings

afternoon

evening

weekend