Mill Creek Towne Residents - 2024 Village Survey

Proudly serving Mill Creek Towne residents since 2013!

PLEASE COMPLETE THE SURVEY AND SUBMIT IT ELECTRONICALLY OR IN PERSON BY APRIL 8, 2024.

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* 1. Your Name

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* 2. Home Address

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* 3. Home phone

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* 4. Cell Phone

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* 5. Email address

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* 6. What is your age?

20 to 29

30 to 39

40 to 49

50 to 59

60 to 69

70 to 79

80 or older

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* 7. How many years have you lived in Mill Creek Towne?

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* 8. If you are retired or near to it, do you foresee “aging in place” in your current home?

Yes

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* 9. Are you familiar with Mill Creek Village and its services and events?

Yes

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* 10. If you responded "YES" to question 9 about familiarity with the Village, how did you learn about us? (Please check all that apply)

Montgomery County Villages Directory

Mill Creek Towne News E-Newsletter

Mill Creek Village Brochure

Mill Creek Village Event Flyers

Mill Creek Village Facebook Page

Mill Creek Village E-Fundraising Appeal

Mill Creek Village Accomplishments Infographic

Mill Creek Village Website

NextDoor App Postings

Other (please specify)

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* 11. If you said "NO" to being familiar with Mill Creek Village in question 9, would you like us to drop by and bring you a Village brochure?

Yes

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* 12. Are there seniors (60 or more years of age) or individuals with significant disabilities residing in your home that might be interested in utilizing the Village’s assistance now or in the future?

Yes

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* 13. If you responded “YES” to question 12, how soon do you see the need for Village support services in your household?

Within a weeks or months

Within 1-2 years

Within 3-4 years

Five Years or more

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* 14. Have you utilized any of the Village senior support services?

Yes