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2026 Age-Friendly Bellville Community Needs Assessment Survey

Estimated time to complete: 8-12 minutes

Your input matters! This survey will help guide the development of the Age-Friendly Bellville Action Plan. All responses are anonymous and will be used only to better understand community needs. If you are unable to complete the survey independently, you are encouraged to have family or friends assist you. If you need help, please call Judy Eckert, Administrative Assistance with the Ohio District 5 Area Agency on Aging, Inc., at 567-247-6472.
Thank you for helping make Bellville a great place to live and age!
Overall Community Rating
1.Overall, how would you rate Bellville as a place to live as you age?
Transportation
2.How do you usually get around Bellville? (Select all that apply)
3.How often does transportation limit where you can go?
4.What transportation challenges do you face? (Select all that apply)
Housing
5.Do you feel you can remain in your current home as you age?
6.What type of housing do you live in?
7.What housing concerns do you have? (Select all that apply)
Outdoor Spaces & Buildings
8.How would you rate outdoor spaces and public buildings in Bellville (parks, sidewalks, public buildings)?
9.What would improve accessibility in Bellville? (Select all that apply)
Social Participation
10.Do you participate in social or community activities as much as you would like?
11.What prevents you from participating more? (Select all that apply)
12.Which of the following activities do you engage in regularly? (Select all that apply)
Respect & Inclusion
13.Do you feel valued and included in the Bellville community?
Civic Participation & Employment
14.Are you satisfied with your opportunities to volunteer, work, or be involved in the community?
15.What would help you become more involved? (Select all that apply)
Communication, Information, & Technology
16.Do you feel informed about community services and activities?
17.How would you prefer to receive information? (Select all that apply)
18.Do you have reliable internet access?
19.How comfortable are you using technology (smartphones, tablets, computers, etc.)?
20.In the area of technology, which topics do you need help with or would like more training on? (Select all that apply)
Community Support & Health Services
21.Do you have access to the healthcare and services you need?
22.What makes access difficult? (Select all that apply)
Community Priorities
23.What would MOST improve Bellville as an age-friendly community? (Select all that apply)
Open Feedback
24.What else should we know (good or bad) that would help support an age-friendly Bellville?
About You
25.Please select the statement that best reflects you:
26.Length of time in the village:
27.Employment status:
28.Living situation (Select all that apply)
29.Gender:
30.What is your age?
31.If special programs are offered as part of the Age-Friendly Bellville project, which times would you most likely attend? (Select all that apply)