Senior Services of Southeastern Virginia is developing the 2017 Area Plan for Aging Services for South
Hampton Roads. We want to hear from you about what you think is important so we can help seniors live
with choice and dignity in their communities. We want to hear from everyone. You may already be a senior. You probably know someone who is a senior. Or you may care about what our region will be like when you are a senior. Please take a few moments to help us plan for a livable community.
All of your answers are confidential. Only summary information will be published.

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* 1. How concerned are you about being able to stay in your home as long as you would like to?

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* 2. How concerned are you that you will not have enough savings and income after you retire?

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* 3. If additional funds become available for transportation projects in the future, what do you think the highest priority spending areas should be to help serve seniors?

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* 4. Do you plan to still live in your city or county five years from now?

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* 5. Think about your housing needs in your senior years, which of the following are most important? Please tell me your top 3 choices

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* 6. Which of the following should your community invest more in to help seniors? Please tell me your top 3 choices

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* 7. Which are most important to having a high quality of life in your senior years? Please tell me your top 3 choices.

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* 8. When thinking about the next 5-10 years, do you expect your quality of life to get:

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* 9. How would you rate the quality of life in your neighborhood? Would you say...

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* 10. What is your age?

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* 11. I live alone.

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* 12. What type of volunteer work do you regularly do? Please select all that apply.

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* 13. How would you describe your race or ethnicity? Please select only one.

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* 14. What is your gender?

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* 15. In what zip code do you live?

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* 16. How would you say your own health is in general?

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* 17. Do you feel your community is doing enough to prepare for the needs of the growing senior population?

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* 18. For your housing, do you...

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* 19. Now we have a few questions about your work life. Please select the option that describes you:

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* 20. what is your annual household income?

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* 21. Are you active duty military or retired military?

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* 22. In your community today how would you rate the following for seniors?

  1 Excellent 2 3 4 5 Poor
Public transportation
Affordable housing
Job opportunities
Access to medical care
Affordability of medical care
Quality of life
Volunteer opportunities
Public safety
Community support like adult day care and senior centers

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* 23. My idea that would make South Hampton Roads a great place in which to grow old is:

Thank you for completing this survey. We will be posting information about the development of the plan on our Senior Services website at http://www.ssseva.org/.

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