We need your input!

A local group is working on a plan for affordable and medicaid “assisted living” - housing for seniors that provides support services such as meals, laundry, housecleaning, or  help with dressing, bathing or medication administration.

This anonymous survey will take about 5 minutes and your input will help us develop the best plan possible. THANK YOU!

 Sponsored by Sage Generation and partners:

Chaffee County Public Health, Chaffee County Economic Development Corporation, Columbine Manor, City of Salida, Heart of the Rockies Regional Medical Center, Heart of the Rockies Home Health and Hospice, Hildebrand Home Care, Upper Arkansas Area Agency on Aging

* 1. Please tell us about yourself.

* 2. Do you currently live in Chaffee County?

* 3. How important is it for you to reside in Chaffee County?

* 4. Have you recently thought about having to move out of Chaffee County? If so, what were the reasons (choose the answer that best applies)?

* 5. Do you or any of your relatives anticipate needing to move into assisted living in Chaffee County?

* 6. What is the timeframe you or a member of your family would be interested in residing in a facility?

* 7. Are you part of a couple so that you and your spouse would be interested in living in the facility at the same time?

* 8. Please share your monthly income amounts (complete all that apply).

* 9. If you needed assisted living and couldn’t live here in Chaffee County, where would you move?

* 10. How important are the following facility amenities to you?

  Not at all important Somewhat important Very Important
Walking paths/outdoor space
Community or bus transportation
Community room with tv and library
Pets allowed
Organized activities
Computer Center
Wellness Program
Private Room
Flexible mealtimes and options

* 11. Is there anything else you would like to tell us regarding your interest in senior housing or assisted living?