Age Friendly Nassau County Department of Human Services, Office for the Aging Age Friendly Adapted Survey OK Question Title * 1. How would you rate your community as a place for people to live and grow as they age? (A community can be located within a city or town or county.) Excellent Good Poor OK Question Title * 2. What is the name of your community? OK Question Title * 3. What is your 5-digit zip code? OK Question Title * 4. How long have you lived in this community? OK Question Title * 5. How important is it for you to remain in your community as you age? Extremely Important Somewhat Important Not Important OK Question Title * 6. Thinking about your retirement years when you do not work at all for pay, how likely is it that you will move to a different home outside of your community? Extremely Likely Somewhat Likely Not Likely OK Question Title * 7. Do you own your home? Yes No OK Question Title * 8. Do you rent your home? Yes No OK Question Title * 9. What type of home is your primary home? Single Family Town Home or Duplex Condominium or Coop Apartment Mobile Home Other (please specify) OK Question Title * 10. How important is it for you to be able to live independently in your home as your age? Extremely Important Somewhat Important Not Important OK Question Title * 11. As you age, do you anticipate needing to modify your home with a ramp, chairlift, wider doorways or elevator? Yes No Not sure OK Question Title * 12. As you age, do you anticipate the need to modify your bathroom with grab bars, handrails, a higher toilet or non-slip tiles? Yes No Not Sure OK Question Title * 13. As you age, do you anticipate the need to move your bedroom, bathroom or kitchen to the main level of your home? Yes No Not Sure OK Question Title * 14. Is it important to have home repair contractors who are trustworthy, do quality work and are affordable in your community? Extremely important Somewhat Important Not Important OK Question Title * 15. Is it important to have well-maintained homes and properties in your community? Extremely important Somewhat important Not Important OK Question Title * 16. Is it important to have affordable housing options for adults of varying incomes levels in your community? Extremely important Somewhat Important Not Important OK Question Title * 17. Is it important to have well-maintained and safe parks that are within walking distance of your home? Extremely important Somewhat Important Not Important OK Question Title * 18. Is it important that sidewalks are in good condition, free from obstruction and are safe for pedestrian use and accessible for wheelchairs and other assistive devices? Extremely Important Somewhat Important Not Important OK Question Title * 19. Is it important to have separate pathways for bicyclists and pedestrians? Extremely Imporant Somewhat Important Not Important OK Question Title * 20. Is it easy for you to get around and do things like shopping, visiting the doctor or running errands? Yes No OK Question Title * 21. Is it important to have accessible and convenient public transportation in your community? Extremely important Somewhat Important Not Important OK Question Title * 22. Is it important to have special transportation services for people with disabilities and older adults in your community? Extremely important Somewhat Important Not Important OK Question Title * 23. Is it important to have easy to read traffic signs in your community? Extremely important Somewhat Important Not Important OK Question Title * 24. Is it important to have well-maintained streets in your community? Extremely important Somewhat Important Not Important OK Question Title * 25. Is it important to have public parking lots, spaces and areas to park in your community? Extremely important Somewhat Important Not Important OK Question Title * 26. Is it important to have well-lit, safe streets, and intersections for all users (pedestrians, bicyclists, drivers) in your community? Extremely important Somewhat Important Not Important OK Question Title * 27. Does the community you live in have affordable and accessible public transportation? Yes No OK Question Title * 28. How often to you engage in some form of physical activity? Everyday 3 - 4 times per week 1 - 2 times per week Never OK Question Title * 29. In general, when compared to most people your age, how would you rate your health? Excellent Good Poor OK Question Title * 30. How important is it to have health an wellness programs and classes in areas such as healthy eating, smoking cessation and exercise in your community? Extremely Important Somewhat Important Not Important OK Question Title * 31. How important is it to have conveniently located health care and social services in your community? Extremely Important Somewhat Important Not Important OK Question Title * 32. How frequently do you interact with your family, friends or neighbors? (This could be in person, by phone, e-mail, social media, etc.) Everyday 3 - 4 times per week 1 - 2 times per week Never OK Question Title * 33. Is it important for your community to have volunteer opportunities for older adults to participate in decision making bodies, such as community councils or committees? Extremely Important Somewhat Important Not Important OK Question Title * 34. Do you know how to access human and social services within your community? Yes No OK Question Title * 35. Please identify your gender below: Male Female No Answer OK Question Title * 36. Please select your age range below Under 18 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ OK Question Title * 37. Do you identify as: White or Caucasian Black or African American American Indian or Alaska Native Asian Native Hawaiian or Pacific Islander No Answer OK Thank you for taking the time to complete the Nassau County Age Friendly 37 question survey. The completion time is approximately 7:00 minutes. Your responses will assist in guiding Age Friendly policy moving forward. OK DONE
