Seniors Survey Question Title * 1. Where do you live? Kanata North Kanata South Stittsville Elsewhere in Ottawa Other (please specify) Question Title * 2. Are you a senior? Yes No Question Title * 3. Do you have a senior parent or family member in Kanata or the surrounding area? Yes No Question Title * 4. What is your gender? Male Female Question Title * 5. What language(s) do you speak? (Check all that apply) English French Arabic Urdu/Hindi Somali Bengali Turkish Other (please specify) Question Title * 6. What type of services do you think are needed by local Muslim seniors? (Check all that apply) Lawn maintenance Assistance with doctor's appointments Grocery shopping Meal assistance At home visits Social gatherings Other (please specify) Question Title * 7. Would you be willing to participate in a short video for KMA? Yes No Question Title * 8. For demographic purposes, what is your address? (Optional) Question Title * 9. What is the best way to contact you? Please provide us with your phone number and/or email. (Optional) Question Title * 10. If you have any other comments or suggestions, please share them here. Done