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The City of Harrisonville invites you to take a few moments to complete this questionnaire on the livability of our city, and your perspective on elements that make a city “age-friendly.” The City of Harrisonville is participating in the Communities for All Ages Recognition Program, an age-friendly city initiative sponsored through Mid-America Regional Council.  Why is this important?  An age-friendly community is a great place to grow up and grow old. As America’s population ages, experts believe that the most successful and vibrant communities of the 21st century will be those that are age-friendly — communities that allow for greater mobility, productivity, and optimal health and well-being.  We need your input to inform and guide us as we plan for the future.
Your individual responses are anonymous and will be combined with all responses. A summary of responses will be made available to the public within 2 months following the deadline.

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* 1. How would you rate our community as a place for people to live as they age?

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* 2. What is your 5-digit ZIP code?

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* 3. How long have you lived in this community?

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* 4. Some people reside in places outside the City of Harrisonville for part of the year. Which of the following describes how you reside in our city? (CHECK ONLY ONE)

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* 5. Thinking about your retirement years when you do not work, how likely is it that you will move to a different home within the City of Harrisonville?

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* 6. Thinking about your retirement years when you do not work, how likely is it that you will move to a different home outside of the City of Harrisonville?

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* 7. If you were to consider moving out of the City of Harrisonville during your retirement when you do not work, would the following factors impact your decision to move? (Choices – Yes, No, Not Sure)

 
Looking for a different home size that meets your needs
Maintaining your current home will be too expensive
Fearing for your personal safety or security concerns
Looking for a home that will help you live independently as you age
Wanting to move to an area that has better health care facilities
Wanting to be closer to family
Needing more access to public transportation
Wanting to live in a different climate
Looking for an area that has a lower cost of living

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* 8. How important is it for you to remain in the City of Harrisonville as you age?

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* 9. Do you own or rent your primary home – or do you have some other type of living arrangement, such as living in the home of a family member of friend?

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* 10. What type of home is your primary home?

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* 11. How important is it for you to be able to live independently in your own home as you age?

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* 12. People sometimes make modifications to their home so they can stay there as they age. Do you think you will need to make the following types of modifications or improvements to your home to enable you to stay there as you age? (Choices: Yes, No, Not Sure)

 
Easier access into or within your home such as a ramp, chairlift or elevator, or
wider doorways
Bathroom modifications such as grab bars, handrails, a higher toilet or non-slip
tiles
Putting a bedroom, bathroom and kitchen on the first floor
Improving lighting
Installing a medical emergency response system that notifies others in case of emergency
Adding at least one no-step entry into the house

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* 13. How important do you think it is to have the following in your community? (Choices: Extremely Important, Very Important, Somewhat Important, Not Very Important, Not At All Important)

 
Well-maintained homes and properties
A home repair service for low-income and older adults that helps with repairs
Seasonal services such as lawn work or snow removal for low-income and older adults
Affordable housing options (such as active adult communities, assisted living and communities with shared facilities and outdoor spaces) for adults of varying income levels
Homes that are equipped with features such as a no-step entry, wider doorways, first floor bedroom and bath, grab bars in bathrooms
Well-maintained and safe low-income housing

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* 14. How important do you think it is to have the following in your community? (Choices: Extremely Important, Very Important, Somewhat Important, Not Very Important, Not At All Important)

 
Well-maintained and safe parks that are within walking distance of your home
Public parks with enough benches
Sidewalks that are in good condition, free from obstruction and are safe for pedestrian use and accessible for wheelchairs and other assistive mobility devices
Well-maintained public buildings and facilities that are accessible to people of different physical abilities
Separate pathways for bicyclists and pedestrians
Well-maintained public restrooms that are accessible to people of different physical abilities
Neighborhood watch programs

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* 15. Do you get around for things like shopping, visiting the doctor, running errands or going to other places in the following ways (Choices: Yes, No)

 
Drive yourself
Have others drive you
Walk
Ride a bike
Use public transportation
Take a taxi cab, Uber, or other ride-sharing option
Use a special transportation service, such as one for seniors or persons with disabilities 

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* 16. How important do you think it is to have the following in your community? (Choices: Extremely Important, Very Important, Somewhat Important, Not Very Important, Not At All Important)

 
Accessible and convenient public transportation
Affordable public transportation
Well-maintained public transportation vehicles
Reliable public transportation
Safe public transportation stops or areas
Special transportation services for people with disabilities and older adults
Well-maintained streets
East to read traffic lights
Enforced speed limits
Public parking lots, spaces and areas to park
Affordable public parking
Well-lit, safe streets and intersections for all users (pedestrians, bicyclists, drivers)
Audio/visual pedestrian crossings
Driver education/refresher courses

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* 17. In general, when compared to most people your age, how would you rate your health?

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* 18. How often do you engage in some form of physical exercise (such as walking, running, biking, swimming, sports, strength training, yoga, stretching)?

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* 19. How important is it to you to remain physically active for as long as possible?

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* 20. How important do you think it is to have the following in your community? (Choices: Extremely Important, Very Important, Somewhat Important, Not Very Important, Not At All Important)

 
Health and wellness programs and classes in areas such as nutrition, smoking cessation and weight control
Fitness activities specifically geared to older adults
Conveniently located health and social services
A service that helps older adults find and access health and supportive services
Conveniently located emergency care centers
Easy to find information on local health and supportive services
Home care services including health, personal care and housekeeping
Well-trained certified home health care providers
Affordable home health care providers
Well-maintained hospitals and health care facilities
A variety of health care professionals including specialists
Health care professionals who speak different languages
Easily understandable and helpful local hospital or clinic answering services
Respectful and helpful hospital and clinic staff

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* 21. About how frequently do you interact with your friends, family or neighbors in your community? This interaction could be by phone, in person, email or social media (such as Facebook).

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* 22. Where do you typically go for continuing education or self-improvement classes/workshops in your community?

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* 23. How important do you think it is to have the following in your community?

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* 24. How important do you think it is to have the following in your community?

 
A range of volunteer activities to choose from
Volunteer training opportunities to help people perform better in their volunteer roles
Opportunities for older adults to participate in decision making bodies such as community councils and commissions 
Opportunities for older adults to volunteer in city sponsored activities and programs
Easy to find information about local volunteer opportunities
Transportation to/from volunteer activities for those who need it

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* 25. Would you turn to one of the following resources if you, a family member or friend needed information about services for older adults, such as caregiving services, home delivered meals, Home repair, medical transport or social activities? (Choices: Yes, No)

 
Cass County Council on Aging
AARP
Local senior center(s)
City of Harrisonville – Community Development Department

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* 26. How important do you think it is to have the following in your community? (Choices: Extremely Important, Very Important, Somewhat Important, Not Very Important, Not At All Important)

 
Access to community information in one central source
Clearly displayed printed community information with large lettering
An automated community information source that is easy to understand like a toll-free number
Free access to completers and the internet in public places such as the library, senior centers, or government buildings
Community information that is delivered in person to people who may have difficulty or may not be able to leave their home
Community information that is available in a number of different languages

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* 27. How do you keep informed of city news? (check all that apply)

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* 28. Are you female or male?

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* 29. What is your age as of your last birthday? ___ ____ ____ (Age in Years)

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* 30. What is your current marital status?

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* 31. Besides yourself, do you have any of the following people living in your household? (Choices: Yes, No)

 
Child/children under 18
Child/children 18 and older
Child/children away at college
Adult relative or friend 18 or older

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* 32. Does any disability, handicap, or chronic disease keep you and/or your spouse or partner From fully participating in work, school, housework or other activities? (CHECK ONLY ONE)

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* 33. What is your race and/or ethnicity? (CHECK ALL THAT APPLY)

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* 34. What is the highest level of education you have completed?

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* 35. In general, how often do you go online to access the Internet for things like sending or receiving email, getting news and information, paying bills or managing finances or buying products or services? This includes access from home, work, a mobile device (such as a smartphone), or someplace else.

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* 36. How do you receive calls at home?

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* 37. What was your annual household income before taxes in the most recent tax year?

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