Scarborough Senior Advisory Board Survey Question Title * 1. What is your age range? And how old do you feel? Under Age 55 Age 55+ Age 60+ Age 65+ Age 70+ Age 75+ Age 80+ Actual age range Actual age range Under Age 55 Actual age range Age 55+ Actual age range Age 60+ Actual age range Age 65+ Actual age range Age 70+ Actual age range Age 75+ Actual age range Age 80+ How old you feel How old you feel Under Age 55 How old you feel Age 55+ How old you feel Age 60+ How old you feel Age 65+ How old you feel Age 70+ How old you feel Age 75+ How old you feel Age 80+ Question Title * 2. Are you a Scarborough resident or non-resident? Resident Non-resident For residents, how many years have you lived in Scarborough? Question Title * 3. Do you live alone? Yes No Question Title * 4. Do you plan to continue living in Scarborough? Yes No If no, why not? Question Title * 5. What are the greatest needs for people in Scarborough as they age? Question Title * 6. What is of most importance to you at your age? Question Title * 7. Do you provide care for a family member at home? Yes No If yes, who do you provide care for (e.g. spouse/partner, parent, child, other)? Question Title * 8. What should Scarborough do to become more age-friendly? Question Title * 9. Of the following, what interests you the most? Transportation Shopping service Physical activities Weekly meals/program BINGO Discounts at local stores Field trips Gathering place for seniors Engagement with younger people Volunteer opportunities Other (please specify) Question Title * 10. Would you like to receive a phone call or email from a board member so you may offer more thoughts? No Yes(Please provide name and phone number or email address) Done