Highland Park Residents’ Aging-in-Community Input Form

Highland Park is part of a program looking for ways to be a community for all ages and help support our residents as they transition towards aging-in-community. As part of this program, we invite your input – regardless of your current age or whether you see aging-in-community as applying to you.

Please complete & submit this input form. Your name or contact information is not required.

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* 1. What is your current age?

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* 2. For how long have you lived in Highland Park?

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* 3. How do you get information about Highland Park’s general programs, services or events?

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* 4. How do you get information about programs or services offered to support Highland Park’s older adult residents?

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* 5. Do you currently use any programs or services offered to support Highland Park’s older adults? If so, please indicate which ones:

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* 6. Are there additional programs or services that might be offered to enhance support of Highland Park’s older adult residents? What types:

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* 7. Describe your current housing situation (single-family house, townhome, apartment, in an older adult building, etc.)

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* 8. Does your current housing meet your current needs?

Yes

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* 9. Will you be able to age in your current housing (Stay) or will you have to move at some point (Move)?

Stay

Move

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* 10. If you feel you will need to move at some point, how will your next housing have to be different from your current housing?

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* 11. How do you generally get to places you need in & around Highland Park for your shopping, appointments, social activities, etc. (private car, public transportation, demand-service transportation, other means)

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* 12. When either walking or using an assistive device (wheelchair, walker, cane, etc.), do you generally find it easy to get around Highland Park?

Yes

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* 13. Do you generally find Highland Park’s public places (parks, public buildings, etc.) easily accessible and adequate for your use?

Yes

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* 14. Do you generally find your neighborhood easily accessible and adequate for your use?

Yes

Highland Park Residents’ Aging-in-Community Input Form

Question Title

* 1. What is your current age?

Question Title

* 2. For how long have you lived in Highland Park?

Question Title

* 3. How do you get information about Highland Park’s general programs, services or events?

Question Title

* 4. How do you get information about programs or services offered to support Highland Park’s older adult residents?

Question Title

* 5. Do you currently use any programs or services offered to support Highland Park’s older adults? If so, please indicate which ones:

Question Title

* 6. Are there additional programs or services that might be offered to enhance support of Highland Park’s older adult residents? What types:

Question Title

* 7. Describe your current housing situation (single-family house, townhome, apartment, in an older adult building, etc.)

Question Title

* 8. Does your current housing meet your current needs?

Question Title

* 9. Will you be able to age in your current housing (Stay) or will you have to move at some point (Move)?

Question Title

* 10. If you feel you will need to move at some point, how will your next housing have to be different from your current housing?

Question Title

* 11. How do you generally get to places you need in & around Highland Park for your shopping, appointments, social activities, etc. (private car, public transportation, demand-service transportation, other means)

Question Title

* 12. When either walking or using an assistive device (wheelchair, walker, cane, etc.), do you generally find it easy to get around Highland Park?

Question Title

* 13. Do you generally find Highland Park’s public places (parks, public buildings, etc.) easily accessible and adequate for your use?

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* 14. Do you generally find your neighborhood easily accessible and adequate for your use?

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* 15. Please share any additional thoughts about how Highland Park can further support older adults Aging-in-Community: