City of Longwood Survey of Age 50+ & Caregivers to older adults

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* 2. Are you a caregiver to disabled/ elderly person?

Yes

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* 3. Age 50 or older?

Yes

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

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* 5. How would you rate Longwood as a place for people to live as they age?

Excellent

Very Good

Good

Fair

Poor

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* 6. What is the name of your street or neighborhood?

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* 7. How long have you lived in your neighborhood?

Less than 5 years

5 years but less than 15 years

15 years but less than 25 years

25 years but less than 35 years

35 years but less than 45 years

45 years or more

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* 8. Some people reside in places outside of their state for part of the year.
Which of the following describes how you reside in in your state? [CHECK ONLY ONE]

Year round, do not reside anywhere outside of Longwood.

Seasonally, reside outside of Longwood during Winter, Spring, Summer or Fall on a regular basis

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* 9. If you were to consider moving, would the following factors impact your decision to move?

	Yes	No	Not Sure
a. Looking for a different home size that meets your needs	a. Looking for a different home size that meets your needs Yes	a. Looking for a different home size that meets your needs No	a. Looking for a different home size that meets your needs Not Sure
b. Maintaining your current home will be too expensive	b. Maintaining your current home will be too expensive Yes	b. Maintaining your current home will be too expensive No	b. Maintaining your current home will be too expensive Not Sure
c. Fearing for your personal safety or security concerns	c. Fearing for your personal safety or security concerns Yes	c. Fearing for your personal safety or security concerns No	c. Fearing for your personal safety or security concerns Not Sure
d. Looking for a home that will help you live independently as you age	d. Looking for a home that will help you live independently as you age Yes	d. Looking for a home that will help you live independently as you age No	d. Looking for a home that will help you live independently as you age Not Sure
e. Wanting to move to an area that has better health care facilities	e. Wanting to move to an area that has better health care facilities Yes	e. Wanting to move to an area that has better health care facilities No	e. Wanting to move to an area that has better health care facilities Not Sure
f. Wanting to be closer to family	f. Wanting to be closer to family Yes	f. Wanting to be closer to family No	f. Wanting to be closer to family Not Sure
g. Needing more access to public transportation	g. Needing more access to public transportation Yes	g. Needing more access to public transportation No	g. Needing more access to public transportation Not Sure
h. Wanting to live in a different climate	h. Wanting to live in a different climate Yes	h. Wanting to live in a different climate No	h. Wanting to live in a different climate Not Sure
i. Looking for an area that has a lower cost of living	i. Looking for an area that has a lower cost of living Yes	i. Looking for an area that has a lower cost of living No	i. Looking for an area that has a lower cost of living Not Sure

Other (please specify)

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* 10. How important is it for you to remain in Longwood as you age?

Extremely important

Very important

Somewhat important

Not so important

Not at all important

City of Longwood Survey of Age 50+ & Caregivers to older adults

YOUR COMMUNITY

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* 1. Please select the current date.

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* 2. Are you a caregiver to disabled/ elderly person?

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* 3. Age 50 or older?

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

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* 5. How would you rate Longwood as a place for people to live as they age?

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* 6. What is the name of your street or neighborhood?

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* 7. How long have you lived in your neighborhood?

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* 8. Some people reside in places outside of their state for part of the year.
Which of the following describes how you reside in in your state? [CHECK ONLY ONE]

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* 9. If you were to consider moving, would the following factors impact your decision to move?

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* 10. How important is it for you to remain in Longwood as you age?

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* 1. Please select the current date.

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* 2. Are you a caregiver to disabled/ elderly person?

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* 3. Age 50 or older?

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

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* 5. How would you rate Longwood as a place for people to live as they age?

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* 6. What is the name of your street or neighborhood?

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* 7. How long have you lived in your neighborhood?

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* 8. Some people reside in places outside of their state for part of the year. Which of the following describes how you reside in in your state? [CHECK ONLY ONE]

Question Title

* 9. If you were to consider moving, would the following factors impact your decision to move?

Question Title

* 10. How important is it for you to remain in Longwood as you age?

* 8. Some people reside in places outside of their state for part of the year.
Which of the following describes how you reside in in your state? [CHECK ONLY ONE]