The Township of Sables-Spanish Rivers (TSSR) Age-Friendly Advisory Committee needs your help!  This committee wants your feedback to create a plan of action towards making our community age-friendly.  The World Health Organization (WHO) encourages all communities to strive towards promoting optimal health and well-being of all ages, by implementing standards.  This survey* is divided into 8 dimensions that are recognized by the WHO as important for communities to include in their services and programs.  This survey* will take you approximately 20 minutes to complete.  Thank you for your valuable opinions and feedback!

The Township of Sables-Spanish Rivers’ Economic Development Officer will be the principal investigator for this project and will conduct the data analysis.  Your data will be kept confidential by the TSSR, and generalized results will be presented in reports, presentations, and publications.

Your participation is voluntary, and you can withdraw at any time.  By submitting the survey*, you indicate that you understand the information provided, and you agree to participate in this research project.

If you have any questions, please contact:
Lisa Hobbs
Economic Development Officer
Township of Sables-Spanish Rivers
11 Birch Lake Road
Massey, Ontario P0P 1P0
Phone: 705-865-2646
Fax: 705-865-2736
Email: ecdev@sables-spanish.ca

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* 1. What language do you prefer?

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* 2. What age group do you belong to?

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* 3. How many years have you lived in the Township of Sables-Spanish Rivers?

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* 4. OUTDOOR SPACES AND PUBLIC BUILDINGS
Do you have difficulties getting up or down stairs?

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* 5. Have you ever had difficulty entering any public buildings or businesses in your community?

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* 6. Have you ever had a fall in a public place?

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* 7. Do you feel the public buildings and businesses you access have the following features (Please check the box, if it is available. By leaving the box empty, you feel the feature is not available.):

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* 8. TRANSPORTATION
Please select all your means of transportation/the ways that you get around?

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* 9. If you do not drive, do you have someone who you can rely on regularly to take you shopping, to medical appointments, or for other purposes?

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* 10. Is a lack of transportation the reason why you are not able to access food, attend appointments, social events or activities?

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* 11. Do you think that there is enough support available for people to travel outside of the community to get to health care appointments and services?

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* 12. HOUSING
Do you own or rent your home/residence?

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* 13. How satisfied are you with your neighbourhood, as a place to live?

Very Satisfied Neutral Very Dissatisfied
i We adjusted the number you entered based on the slider’s scale.

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* 14. Are you able to manage your current living space (such as, clean indoors, gardening, minor repairs, cut the grass, remove snow, etc.)?

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* 15. Does your current residence need any significant repairs, or changes to improve your ability to live and stay there in the next 5 years?

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* 16. Do you have concerns that you may not be able to afford these changes or repairs?

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* 17. Do you feel that you are able to afford to live in your current residence for as long as you would like?

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* 18. Would you consider staying in your community, if affordable senior housing was available?

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* 19. Please check the box if you feel the following are issues in your neighbourhood. Please leave box blank, if you do not think it is an issue.

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* 20. SOCIAL PARTICIPATION
On average, how often does a neighbour, friend, or family member contact you in person or by phone?

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* 21. On average, how often do you and your neighbours do favors or chores for each other?

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* 22. On average, how often do you leave your home for any reason?

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* 23. During this past week, did you:

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* 24. Would you like to see more community activities or events offered?

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* 25. Do you think that the current activities are held at convenient times?

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* 26. Do you feel the community activities encourage participation of people of different ages and cultural backgrounds?

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* 27. Suggestions/Comments for community events, sports/recreation, arts, and cultural activities:

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* 28. RESPECT AND SOCIAL ISOLATION
Do you feel respected and safe in your community?

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* 29. Do police patrol your area routinely?

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* 30. Do you feel like you are a part of your community?

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* 31. Do you think that your communities or organizations make efforts to engage isolated persons through, for example, taking to events, personal visits or phone calls?

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* 32. Are community events affordable for all income levels?

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* 33. CIVIC PARTICIPATION AND EMPLOYMENT
What is your current employment status? (Select all that apply)

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* 34. Do you participate in any volunteer work or spend your time helping others without being paid for it?

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* 35. Would you consider volunteering?

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* 36. Do you feel that Council considers the interests and concerns of all residents?

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* 37. COMMUNICATION AND INFORMATION
Do you require assistance with filling out forms?

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* 38. Do you require assistance with managing your finances?

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* 39. Do you have a place that you can go (online, telephone, or in person) to find a reliable source of information regarding services in the community that are available?

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* 40. Do you prefer to access information...

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* 41. Do you feel that activities and events are well-communicated to everyone, including information about the activity/event, accessibility, and transportation options?

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* 42. Do you feel that you are well-informed of the services available to help you age in your community?

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* 43. Is cell phone coverage and internet access available in all parts of your community?

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* 44. COMMUNITY SUPPORT AND HEALTH SERVICES
How would you rate your overall health?

Very Good Average Very Poor
i We adjusted the number you entered based on the slider’s scale.

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* 45. Do you feel that your community has easy access to healthy and affordable food?

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* 46. Are you the primary caregiver for: (Please select all that apply)

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* 47. Are you able to wash yourself, toilet, dress, eat on your own?

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* 48. Based on your experience, what gaps in services for seniors, persons with disabilities, and family caregivers exist? (Examples: Certain services not available; time it takes for equipment or services to arrive, etc.)

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* 49. Below you will find a list of services that are available in some communities.   Please check the boxes that you feel would benefit your community:

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* 50. If you were sick or disabled for a period of time, do you have someone who can help you?

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* 51. Do you use any aides or equipment, such as a wheelchair, a walker, or cane to get around in or outdoors?

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* 52. Do you have problems seeing (which you may/may not use glasses or contact lenses) or do you have problems hearing (which you may or may not use a hearing aide for)?

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* 53. In the last 12 months, even one time: (Please check all that apply.)

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* 54. Do you think that you will have enough money to take care of yourself for the rest of your life?

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* 55. Please include any questions, comments, or concerns below that you would like to tell the Township of Sables-Spanish Rivers Age-Friendly Advisory Committee.

We would like to thank you for taking the time to complete this survey*.  Your input is valuable to this community!

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* 56. *This survey was adapted with permission, from the St-Charles age-friendly household survey found in the March 2017, Age-Friendly action plan.

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