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Copy of Autumn House Questionnaire
1.
Age of Participant: ____________________________________
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Other (please specify)
*
2.
Would you consider moving into the Autumn House
(Required.)
Yes
No
If Yes, why?
If No, why?
3.
What age do yo feel people would consider moving into the Autumn House?
4.
Did you know that the Autumn House is a not-for-profit and does not receive any funding from the government?
Yes
No
5.
Should the government fund the Autumn House?
Yes
No
6.
Would you sell an asset or use savings to reside in the Autumn House?
Yes
No
If yes, why?
If no, why?
7.
Do you feel the Autumn House board has fulfilled its responsibilities and contributed positively to the Autumn House?
Yes
No
If yes, why?
If no, why?