This survey is being conducted by the City of Richmond's Aging and Disabilities Advisory Board, to identify issues and gaps in services for older adults 55 and older and individuals 18 years of age and above, with physical and sensory disabilities.  Information obtained through this process, will allow the city to better serve its citizens in providing programs and services that will meet their needs. 

* 1. What is your gender?

* 2. What is your age?

* 3. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 4. Which of the following best describes your current relationship status?

* 5. Which of the following categories best describes your employment status?

* 6. Please describe your race/ethnicity.

* 7. Type of Disability

* 8. Please indicate which of these programs or services you are currently using: 

* 9. Which of the following applies?

* 10. If you are a homeowner, how would you rate the condition of your home?

* 11. How prepared are you in case of a disaster or an extreme weather event?

* 12. Are you the caregiver for your grandchildren?

* 13. Please list any aging or disability services you have had difficulty accessing.

* 14. What resources in your opinion are needed to ensure older adults and individuals with disabilities have a healthy living environment and quality of life in the City of Richmond? This includes housing and employment.

* 15. When you think about the future of older adults and individuals with disabilities, what concerns you most?

* 16. From your perspective, how effective do you believe senior and disability services in Richmond are responding to the needs of both populations.

* 17. Please share any other thoughts you may have about the needs of older adults, individuals with physical or sensory disabilities; and available services in the area.