Introduction

Aging in Place is the ability to live in one's own home and community safely, independently, and comfortably, regardless of age, income, or physical capabilities.

Detroit Shoreway Community Development Organization is evaluating several key aspects of Aging in Place in an attempt to gain a better understanding of what the Senior Community's needs are.

By completing the following survey, you’ll help provide critical insight. Responses will be kept anonymous.

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* 1. What is your gender?

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* 2. What is your age?

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* 3. What is your ethnicity? (Please select all that apply.)

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* 4. What is your zip code?

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* 5. What is your marital status?

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* 6. What is the highest degree or level of education you have completed?

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* 7. What is your employment status?

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* 8. Do you currently own or rent your primary residence?

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* 9. What best describes why you chose your current residence?

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* 10. Do you use public transportation?

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* 11. Which form of public transportation do you most often use?

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* 12. Are the public transportation options available in your neighborhood adequate?

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* 13. Rank the following public transportation attributes by level of importance:

  Very Important Important Not Important
Affordability
Accessibility of pickup locations
Dependability
Accept Senior Public Transportation
Age-friendliness of vehicles
A sense of safety on public transportation vehicles
Convenience of pickup schedules
Flexibility of destinations
Flexibility of pickup times
Priority seating to seniors

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* 14. As you continue to age, would you rather:

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* 15. Would you like to engage in more social activities?

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* 16. If Yes, which types of social activities are you most interested in participating in (select all that apply):

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* 17. Are fitness activities important to you?

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* 18. Rank the following fitness activities by level of importance to you:

  Very Important Important Not Important
Exercise Program
Yoga/tai chi/stretching
Walking groups
Biking
Swimming/water aerobics
Hiking groups
Age-friendly personal training

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* 19. Rank the following by level of importance to the senior community:

  Very Important Important Not Important
Social engagement
Senior benefits
Affordable housing
The need to rely on others for assistance (including family)
Information (healthcare, transportation, community gatherings, etc.)
Transportation
Medical providers
Education
Assistance with housing
Assistance with healthcare insurance
Availability of physical activity programs
Assistance with planning
Age-friendliness of residence

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* 20. Rank the following financial/legal services by level of importance to you:

  Very Important Important Not Important
Balancing checkbook, organizing and paying bills
Evaluating insurance options
Tax preparation assistance
Legal assistance
Estate planning
Financial support services

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* 21. Rank the following household services by level of importance to you:

  Very Important Important Not Important
Sorting and organizing mail
Assistance with housing choices
Help installing and troubleshooting technology (i.e. computers, DVD players, etc.)
Helping with de-cluttering
General Handyman
Home healthcare/personal aide care
Meal preparation
Laundry
Shopping (groceries)
Phone check-ins, friendly visits
Home delivered meals
Lifeline (Medical Alert)
Medical Equipment (wheelchairs, beds, walkers, etc.)

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* 22. How important are these additional services to you:

  Very Important Important Not Important
Buying club
Part-time employment
Group buying power
Prequalified contractor/vendor selection
Entertainment services

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* 23. Rank the following health assistance services by level of importance to you as you continue to age:

  Very Important Important Not Important
Patient advocacy/companion to medical appointments
Filing insurance & healthcare claims
Explaining Medicare plans and healthcare options
Online medical/doctor appointments
Massage
Acupuncture
Home safety education
Nutrition/diet information
Medical/dental referrals
Emotional/support groups
Picking up prescriptions/organizing medications
Live-in caregiver

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* 24. Do you feel connected to the community?

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* 25. How do you currently get information and community news about senior services?

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* 26. How important is it for you to learn about the following Aging in Place topics:

  Very Important Important Not Important
Retirement communities
Housing options
Estate planning
Applying for senior transportation
Insurance and healthcare options
Home safety
Transportation options
Entertainment options
Exercise options
Meal options

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* 27. How would you prefer to have information and education materials delivered to you?

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* 28. Are you connected to the internet?

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* 29. How frequently do you use the internet?

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* 30. Would you like to take classes on computer and software education?

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* 31. Rank the following senior community services by level of importance:

  Very Important Important Not Important
Book groups
How-to workshops (i.e. cooking, home repairs, quilt making)
Art/craft classes
Computer and software classes
Discussion groups
Lectures/Speaker series
Social action/lobbying groups (local/state issues, senior issues)
Cultural outings (theatre, museums, concerts)
Dining out
Shopping trips
Farmers market trips
Gardening
Card/Chess/Game groups

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* 32. How important is senior advocacy for the following services/topics:

  Very Important Important Not Important
Patient advocacy/companion to medical appointments
Filing insurance and healthcare claims
Explaining Medicare plans and healthcare options
Home safety education
Nutrition/diet information
Medical/dental referrals
Emotional/support groups
How-to workshops (i.e. cooking, home repairs, quilt making)
Applying for senior transportation

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* 33. Would you pay for senior advocacy groups?

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* 34. How much would you be willing to pay for senior advocacy group representation:

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