What is your postal code?
Please Note:  This question must be answered for your survey to be included.  Your postal code will be kept separate and will not be used to identify you in any way.

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* 1. What is your postal code?
Please Note:  This question must be answered for your survey to be included.  Your postal code will be kept separate and will not be used to identify you in any way.

Have any of the following kept you from using public buildings in the 
community?

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* 3. Have any of the following kept you from using public buildings in the 
community?

How do you usually travel around the community? (Check the one(1) you do most often)

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* 6. How do you usually travel around the community? (Check the one(1) you do most often)

Have any of the following kept you from walking, running, jogging or biking to get around in the community? (Check all that apply)

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* 8. Have any of the following kept you from walking, running, jogging or biking to get around in the community? (Check all that apply)

Have any of the following kept you from using buses to get around in the 
community? (Check all that apply)

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* 9. Have any of the following kept you from using buses to get around in the 
community? (Check all that apply)

Have any of the following kept you from using taxis to get around in the 
community? (Check all that apply)

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* 10. Have any of the following kept you from using taxis to get around in the 
community? (Check all that apply)

Answer only if you use a wheelchair: Have any of the following kept you from using buses that are made for wheelchairs? (Check all that apply)

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* 11. Answer only if you use a wheelchair: Have any of the following kept you from using buses that are made for wheelchairs? (Check all that apply)

How important is it for you to be able to live in your own home without
special help as you age?

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* 13. How important is it for you to be able to live in your own home without
special help as you age?

What type of housing are you living in now? (Check one(1) answer that is closest to being right)

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* 14. What type of housing are you living in now? (Check one(1) answer that is closest to being right)

Do you rent or do you own the place where you are living?

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* 15. Do you rent or do you own the place where you are living?

Do you plan to move to a different type of housing in the future? (Check one(1))

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* 16. Do you plan to move to a different type of housing in the future? (Check one(1))

If you do plan to move:
What type of housing would you look for?  (Check one(1) answer that is the most likely one)

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* 17. If you do plan to move:
What type of housing would you look for?  (Check one(1) answer that is the most likely one)

If you expect to move: Where would your future home most likely be located? (Check one(1))

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* 18. If you expect to move: Where would your future home most likely be located? (Check one(1))

If you had to move, and you had your choice: Would you want to stay in the same neighbourhood where you are living now?

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* 19. If you had to move, and you had your choice: Would you want to stay in the same neighbourhood where you are living now?

If you currently live in your home:


Do you expect that any of the following might stop you from being able to stay in your home in the coming years? (Check up to three(3) of the most important items)

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* 20. If you currently live in your home:


Do you expect that any of the following might stop you from being able to stay in your home in the coming years? (Check up to three(3) of the most important items)

In the last 3 months, have you gone to any of the following? (Check all that apply)

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* 23. In the last 3 months, have you gone to any of the following? (Check all that apply)

In the last 6 months, have you volunteered to help with a community group or event?

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* 31. In the last 6 months, have you volunteered to help with a community group or event?

If you were given the chance to volunteer for something you enjoy, would you volunteer?

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* 33. If you were given the chance to volunteer for something you enjoy, would you volunteer?

Only answer if you are still working now: 
Are you thinking about delaying your retirement (for any reasons)?

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* 35. Only answer if you are still working now: 
Are you thinking about delaying your retirement (for any reasons)?

In the last 6 months, have you visited a public library?

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* 37. In the last 6 months, have you visited a public library?

In the last 12 months, how did you usually get the information you needed about your community? (Check all that apply)

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* 38. In the last 12 months, how did you usually get the information you needed about your community? (Check all that apply)

Do you use any of the following low-cost food programs? 
(Check all that apply)

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* 42. Do you use any of the following low-cost food programs? 
(Check all that apply)

In the last 12 months have you needed help with any of the following tasks? (Check all that apply)

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* 44. In the last 12 months have you needed help with any of the following tasks? (Check all that apply)

How long have you lived in Miramichi? ( in years)

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* 48. How long have you lived in Miramichi? ( in years)

How long have you lived in the neighbourhood where you are now? (in years)

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* 49. How long have you lived in the neighbourhood where you are now? (in years)

What is your age group? (Check one)

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* 50. What is your age group? (Check one)

What is your gender?

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* 51. What is your gender?

What language(s) do you speak? (Check all that apply)

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* 52. What language(s) do you speak? (Check all that apply)

What is your first language (your mother tongue) ? 

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* 53. What is your first language (your mother tongue) ? 

In what language do you like to get your services and information? 

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* 54. In what language do you like to get your services and information? 

What is your marital status? (Check One)

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* 55. What is your marital status? (Check One)

Who do you live with? (Check one)

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* 56. Who do you live with? (Check one)

Are you a care-giver for someone who lives with you? (Check all that apply)

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* 57. Are you a care-giver for someone who lives with you? (Check all that apply)

Does someone else care for you on a regular basis? (Check all that apply)

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* 58. Does someone else care for you on a regular basis? (Check all that apply)

Which of the following best describes your working situation? (Check one(1) answer that is closest to being right)

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* 59. Which of the following best describes your working situation? (Check one(1) answer that is closest to being right)

What was the total income last year, for all people living in your home, before taxes and deductions?

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* 60. What was the total income last year, for all people living in your home, before taxes and deductions?

What is your highest level of education? (Check one)

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* 61. What is your highest level of education? (Check one)

If you have any additional comments that may not have been covered in this survey, please feel free to comment below:

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* 62. If you have any additional comments that may not have been covered in this survey, please feel free to comment below:

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