1.

Indus Community Services is looking to develop a new housing community for South Asian seniors. To get a better understanding of what this community could look like, we have developed a survey so we can hear from you and take your advice into consideration. All the individual responses will be made anonymous and treated as strictly confidential.

* 1. Please indicate your age group below

* 2. Which gender do you identify with?

* 3. In which city do you live?

* 4. Do you currently use any services/programs offered by Indus Community Services and/or consider yourself a member of the organization?

* 5. What are the first 3 digits of your postal code?

* 6. How would you best describe your current household composition?

* 7. What is your current household size (How many people live in your house)?

* 8. How would you best describe your housing situation?

* 9. Would you consider moving to a seniors' community after the age of 65?

* 10. You indicated you would consider moving to a seniors' community.
Would you prefer a community specifically designed for South Asians?

* 11. You indicated you would not consider moving to a South Asian seniors' community. What are the main reasons why you would not live in a seniors' community?

* 12. Do you pay rent or do you own your home?

* 13. If you pay rent for an apartment, which would best describe your monthly rent?

* 14. If you were to move to a South Asian seniors' community, would you prefer to rent
or purchase a unit?

* 15. What would be your ideal unit size? This will help us determine a good mix of units.

* 16. In order to accommodate your current and future needs, which services would you prefer to be available to you for personal use?

  Yes Maybe  No
1. Housekeeping
2. Assistance with cooking
3. Assistance with laundry
4. Medication reminders
5. Assistance with bathing
6. Help with shopping/groceries

* 17. In order to accommodate your current and future needs, which services would you prefer to be available to you for personal use? (Continued)

  Yes Maybe  No
1. Help with financial planning
2. Family doctor
3. Pharmacy
4. Organized events
5. Spiritual care
6. Dining hall serving prepared food
7. Group activities (e.g. board/card games, bingo)

* 18. Which of the following amenities, would you like to see in a possible community for South Asian seniors?

  Yes Maybe No
1. Dedicated parking space
2. Visitor parking space
3. Lockers/storage space
4. library
5. Guest suites for people that stay over night
6. Auditorium/movie theatre
7. Yoga/fitness room
8. Swimming pool

* 19. Which of the following amenities, would you like to see in a possible community for South Asian seniors? (Continued)

  Yes Maybe No
1. Private rooms (e.g. party room, hobby room etc)
2. Prayer/meditation room
3. Shared outside space (e.g. Terrace, garden etc)
4. Access to transit
5. Access to medical facilities
6. Access to shopping facilities
7. Access to community centres
8. Hobby garden
9. Common dining room

* 20. Are there any other amenities or services you have not seen in the lists above, but would like to see included in a possible South Asian Seniors' community?

* 21. How likely would you recommend a seniors' community for South Asians to a friend/peer you think is considering to move? (1 not at all likely - 10 very likely)

  1 2 3 4 5 6 7 8 9 10
Rating

* 22. How long have you been in Canada?

* 23. What best describes your immigration status?

* 24. Which of the categories below best describes your annual household income (combined income for all household members) before tax?

* 25. If you indicated you would like to rent an apartment, what would be a rent
you would be able to afford? (If you prefer to purchase a unit go to question 26)

* 26. If you indicated you would like to purchase an apartment, what would be a price range
you would be able to afford? (If you prefer to rent an apartment, please skip this question)

* 27. Do you have any additional comments or questions you would like to ask/be taken into consideration?

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