The aim of an Age Friendly community is to encourage and remove barriers to social participation.  It supports the rights of individuals to make choices about the way they live and provides quality services to support those who need them. 
 
The completion of this survey will assist Council to inform the draft Age Friendly City Plan 2017-2021 and to plan for future developments for older people. All information provided will be used for this sole purpose, be kept confidentially and will not be passed on for use by any other organisation.

 
As an older person in Brimbank, please tick the two most important issues to you in each of the following eight domains:

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* 1. Outdoor spaces and building - (select 2)

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* 2. Transport - trains, buses, taxis, community buses, cycling, parking and walking - (select 2)

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* 3. Housing - (select 2)

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* 4. Communication and Information - (select 2)

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* 5. Community Support & health services - (select 2)

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* 6. Social Participation - (select 2)

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* 7. Respect & Social Inclusion - (select 2)

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* 8. Civic Participation & Employment - (select 2)

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* 9. Further Comments

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* 10. Optional Name / Group

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* 11. Optional Contact Number

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* 12. Postcode

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* 13. Male or Female?

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* 14. Country of Birth

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* 15. Language Spoken at Home

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* 16. If Applicable: Name of BAS Interviewer

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* 17. If Applicable: Location of Interview (optional)

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* 18. If Applicable: Interview Date

Date / Time

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* 19. If Applicable: Customer Survey

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