Community Assessment Survey for Older Adults

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* 1. What is your age?

under 35

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 2. What is your gender?

Female

Male

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* 3. How do you rate your community as a place to live?

Excellent

Good

Fair

Poor

Don't Know

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* 4. How do you rate your community as a place to retire?

Excellent

Good

Fair

Poor

Don't Know

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* 5. How likely or unlikely are you to recommend living in your community to older adults?

Very likely

Somewhat likely

Somewhat unlikely

Very unlikely

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* 6. How likely or unlikely are you to remain in your community throughout your retirement?

Very likely

Somewhat likely

Somewhat unlikely

Very unlikely

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* 7. Please rate each of the following community characteristics as they relate to City of Columbia adults age 60 or over:

	Excellent	Good	Fair	Poor	Don't Know
Opportunities to volunteer	Opportunities to volunteer Excellent	Opportunities to volunteer Good	Opportunities to volunteer Fair	Opportunities to volunteer Poor	Opportunities to volunteer Don't Know
Employment opportunities	Employment opportunities Excellent	Employment opportunities Good	Employment opportunities Fair	Employment opportunities Poor	Employment opportunities Don't Know
Opportunities to enroll in skill-building or personal enrichment classes	Opportunities to enroll in skill-building or personal enrichment classes Excellent	Opportunities to enroll in skill-building or personal enrichment classes Good	Opportunities to enroll in skill-building or personal enrichment classes Fair	Opportunities to enroll in skill-building or personal enrichment classes Poor	Opportunities to enroll in skill-building or personal enrichment classes Don't Know
Recreation opportunities (including games, arts, library services, etc.)	Recreation opportunities (including games, arts, library services, etc.) Excellent	Recreation opportunities (including games, arts, library services, etc.) Good	Recreation opportunities (including games, arts, library services, etc.) Fair	Recreation opportunities (including games, arts, library services, etc.) Poor	Recreation opportunities (including games, arts, library services, etc.) Don't Know
Fitness opportunities (including exercise classes, paths or trails, etc.)	Fitness opportunities (including exercise classes, paths or trails, etc.) Excellent	Fitness opportunities (including exercise classes, paths or trails, etc.) Good	Fitness opportunities (including exercise classes, paths or trails, etc.) Fair	Fitness opportunities (including exercise classes, paths or trails, etc.) Poor	Fitness opportunities (including exercise classes, paths or trails, etc.) Don't Know
Opportunities to attend social events or activities	Opportunities to attend social events or activities Excellent	Opportunities to attend social events or activities Good	Opportunities to attend social events or activities Fair	Opportunities to attend social events or activities Poor	Opportunities to attend social events or activities Don't Know
Opportunities to attend or participate in meetings about local government or community matters	Opportunities to attend or participate in meetings about local government or community matters Excellent	Opportunities to attend or participate in meetings about local government or community matters Good	Opportunities to attend or participate in meetings about local government or community matters Fair	Opportunities to attend or participate in meetings about local government or community matters Poor	Opportunities to attend or participate in meetings about local government or community matters Don't Know
Availability of affordable quality housing	Availability of affordable quality housing Excellent	Availability of affordable quality housing Good	Availability of affordable quality housing Fair	Availability of affordable quality housing Poor	Availability of affordable quality housing Don't Know
Variety of housing options	Variety of housing options Excellent	Variety of housing options Good	Variety of housing options Fair	Variety of housing options Poor	Variety of housing options Don't Know
Availability of information about resources for older adults	Availability of information about resources for older adults Excellent	Availability of information about resources for older adults Good	Availability of information about resources for older adults Fair	Availability of information about resources for older adults Poor	Availability of information about resources for older adults Don't Know
Availability of financial and legal planning services	Availability of financial and legal planning services Excellent	Availability of financial and legal planning services Good	Availability of financial and legal planning services Fair	Availability of financial and legal planning services Poor	Availability of financial and legal planning services Don't Know
Availability of affordable quality physical health care	Availability of affordable quality physical health care Excellent	Availability of affordable quality physical health care Good	Availability of affordable quality physical health care Fair	Availability of affordable quality physical health care Poor	Availability of affordable quality physical health care Don't Know
Availability of affordable quality mental health care	Availability of affordable quality mental health care Excellent	Availability of affordable quality mental health care Good	Availability of affordable quality mental health care Fair	Availability of affordable quality mental health care Poor	Availability of affordable quality mental health care Don't Know
Availability of preventive health services (e.g., health screenings, flu shots, educational workshops)	Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) Excellent	Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) Good	Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) Fair	Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) Poor	Availability of preventive health services (e.g., health screenings, flu shots, educational workshops) Don't Know
Sense of community	Sense of community Excellent	Sense of community Good	Sense of community Fair	Sense of community Poor	Sense of community Don't Know
Openness and acceptance of the community towards older residents of diverse backgrounds	Openness and acceptance of the community towards older residents of diverse backgrounds Excellent	Openness and acceptance of the community towards older residents of diverse backgrounds Good	Openness and acceptance of the community towards older residents of diverse backgrounds Fair	Openness and acceptance of the community towards older residents of diverse backgrounds Poor	Openness and acceptance of the community towards older residents of diverse backgrounds Don't Know
Ease of bus travel in your community	Ease of bus travel in your community Excellent	Ease of bus travel in your community Good	Ease of bus travel in your community Fair	Ease of bus travel in your community Poor	Ease of bus travel in your community Don't Know
Ease of car travel in your community	Ease of car travel in your community Excellent	Ease of car travel in your community Good	Ease of car travel in your community Fair	Ease of car travel in your community Poor	Ease of car travel in your community Don't Know
Ease of walking in your community	Ease of walking in your community Excellent	Ease of walking in your community Good	Ease of walking in your community Fair	Ease of walking in your community Poor	Ease of walking in your community Don't Know
How do you rate your overall quality of life?	How do you rate your overall quality of life? Excellent	How do you rate your overall quality of life? Good	How do you rate your overall quality of life? Fair	How do you rate your overall quality of life? Poor	How do you rate your overall quality of life? Don't Know

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* 8. In the last 12 months, how much of a problem, if at all, has each of the following been for you?

	Not a problem	Minor problem	Moderate problem	Major problem	Don't Know
Performing regular activities (including walking, eating, preparing meals, etc.)	Performing regular activities (including walking, eating, preparing meals, etc.) Not a problem	Performing regular activities (including walking, eating, preparing meals, etc.) Minor problem	Performing regular activities (including walking, eating, preparing meals, etc.) Moderate problem	Performing regular activities (including walking, eating, preparing meals, etc.) Major problem	Performing regular activities (including walking, eating, preparing meals, etc.) Don't Know
Having enough money to meet daily expenses	Having enough money to meet daily expenses Not a problem	Having enough money to meet daily expenses Minor problem	Having enough money to meet daily expenses Moderate problem	Having enough money to meet daily expenses Major problem	Having enough money to meet daily expenses Don't Know
Maintaining a healthy diet	Maintaining a healthy diet Not a problem	Maintaining a healthy diet Minor problem	Maintaining a healthy diet Moderate problem	Maintaining a healthy diet Major problem	Maintaining a healthy diet Don't Know
Having safe and affordable transportation available	Having safe and affordable transportation available Not a problem	Having safe and affordable transportation available Minor problem	Having safe and affordable transportation available Moderate problem	Having safe and affordable transportation available Major problem	Having safe and affordable transportation available Don't Know
No longer being able to drive	No longer being able to drive Not a problem	No longer being able to drive Minor problem	No longer being able to drive Moderate problem	No longer being able to drive Major problem	No longer being able to drive Don't Know
Having safe and affordable housing	Having safe and affordable housing Not a problem	Having safe and affordable housing Minor problem	Having safe and affordable housing Moderate problem	Having safe and affordable housing Major problem	Having safe and affordable housing Don't Know
Maintaining your home and yard	Maintaining your home and yard Not a problem	Maintaining your home and yard Minor problem	Maintaining your home and yard Moderate problem	Maintaining your home and yard Major problem	Maintaining your home and yard Don't Know
Doing heavy or intense housework	Doing heavy or intense housework Not a problem	Doing heavy or intense housework Minor problem	Doing heavy or intense housework Moderate problem	Doing heavy or intense housework Major problem	Doing heavy or intense housework Don't Know
Feeling depressed	Feeling depressed Not a problem	Feeling depressed Minor problem	Feeling depressed Moderate problem	Feeling depressed Major problem	Feeling depressed Don't Know
Feeling lonely or isolated	Feeling lonely or isolated Not a problem	Feeling lonely or isolated Minor problem	Feeling lonely or isolated Moderate problem	Feeling lonely or isolated Major problem	Feeling lonely or isolated Don't Know
Having friends or family you can rely on	Having friends or family you can rely on Not a problem	Having friends or family you can rely on Minor problem	Having friends or family you can rely on Moderate problem	Having friends or family you can rely on Major problem	Having friends or family you can rely on Don't Know
Falling or injuring yourself in your home	Falling or injuring yourself in your home Not a problem	Falling or injuring yourself in your home Minor problem	Falling or injuring yourself in your home Moderate problem	Falling or injuring yourself in your home Major problem	Falling or injuring yourself in your home Don't Know
Your physical health	Your physical health Not a problem	Your physical health Minor problem	Your physical health Moderate problem	Your physical health Major problem	Your physical health Don't Know
Getting the health care you need	Getting the health care you need Not a problem	Getting the health care you need Minor problem	Getting the health care you need Moderate problem	Getting the health care you need Major problem	Getting the health care you need Don't Know
Affording the medications you need	Affording the medications you need Not a problem	Affording the medications you need Minor problem	Affording the medications you need Moderate problem	Affording the medications you need Major problem	Affording the medications you need Don't Know
Getting the dental health care you need	Getting the dental health care you need Not a problem	Getting the dental health care you need Minor problem	Getting the dental health care you need Moderate problem	Getting the dental health care you need Major problem	Getting the dental health care you need Don't Know
Providing care for another person	Providing care for another person Not a problem	Providing care for another person Minor problem	Providing care for another person Moderate problem	Providing care for another person Major problem	Providing care for another person Don't Know
Staying physically fit	Staying physically fit Not a problem	Staying physically fit Minor problem	Staying physically fit Moderate problem	Staying physically fit Major problem	Staying physically fit Don't Know
Access to neighborhood park or trails	Access to neighborhood park or trails Not a problem	Access to neighborhood park or trails Minor problem	Access to neighborhood park or trails Moderate problem	Access to neighborhood park or trails Major problem	Access to neighborhood park or trails Don't Know
Feeling like your voice is heard in the community	Feeling like your voice is heard in the community Not a problem	Feeling like your voice is heard in the community Minor problem	Feeling like your voice is heard in the community Moderate problem	Feeling like your voice is heard in the community Major problem	Feeling like your voice is heard in the community Don't Know
Not knowing what services or information is available to older adults in your community	Not knowing what services or information is available to older adults in your community Not a problem	Not knowing what services or information is available to older adults in your community Minor problem	Not knowing what services or information is available to older adults in your community Moderate problem	Not knowing what services or information is available to older adults in your community Major problem	Not knowing what services or information is available to older adults in your community Don't Know
Finding work in retirement	Finding work in retirement Not a problem	Finding work in retirement Minor problem	Finding work in retirement Moderate problem	Finding work in retirement Major problem	Finding work in retirement Don't Know
Being a victim of crime, fraud or scam	Being a victim of crime, fraud or scam Not a problem	Being a victim of crime, fraud or scam Minor problem	Being a victim of crime, fraud or scam Moderate problem	Being a victim of crime, fraud or scam Major problem	Being a victim of crime, fraud or scam Don't Know
Dealing with legal issues	Dealing with legal issues Not a problem	Dealing with legal issues Minor problem	Dealing with legal issues Moderate problem	Dealing with legal issues Major problem	Dealing with legal issues Don't Know
Dealing with financial planning issues	Dealing with financial planning issues Not a problem	Dealing with financial planning issues Minor problem	Dealing with financial planning issues Moderate problem	Dealing with financial planning issues Major problem	Dealing with financial planning issues Don't Know

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* 9. In the last 12 months, have you participated in doing or done each of the following activities?

	Never	Rarely	Sometimes	Often	Don't Know
Participating in a club (including book, dance, game, or other social)	Participating in a club (including book, dance, game, or other social) Never	Participating in a club (including book, dance, game, or other social) Rarely	Participating in a club (including book, dance, game, or other social) Sometimes	Participating in a club (including book, dance, game, or other social) Often	Participating in a club (including book, dance, game, or other social) Don't Know
Participating in a civic group (including Elks, Kiwanis, Masons, etc.)	Participating in a civic group (including Elks, Kiwanis, Masons, etc.) Never	Participating in a civic group (including Elks, Kiwanis, Masons, etc.) Rarely	Participating in a civic group (including Elks, Kiwanis, Masons, etc.) Sometimes	Participating in a civic group (including Elks, Kiwanis, Masons, etc.) Often	Participating in a civic group (including Elks, Kiwanis, Masons, etc.) Don't Know
Communicating/visiting with friends and/or family	Communicating/visiting with friends and/or family Never	Communicating/visiting with friends and/or family Rarely	Communicating/visiting with friends and/or family Sometimes	Communicating/visiting with friends and/or family Often	Communicating/visiting with friends and/or family Don't Know
Participating in religious or spiritual activities with others	Participating in religious or spiritual activities with others Never	Participating in religious or spiritual activities with others Rarely	Participating in religious or spiritual activities with others Sometimes	Participating in religious or spiritual activities with others Often	Participating in religious or spiritual activities with others Don't Know
Participating in a recreational program or group activity	Participating in a recreational program or group activity Never	Participating in a recreational program or group activity Rarely	Participating in a recreational program or group activity Sometimes	Participating in a recreational program or group activity Often	Participating in a recreational program or group activity Don't Know
Providing help to friends or relatives	Providing help to friends or relatives Never	Providing help to friends or relatives Rarely	Providing help to friends or relatives Sometimes	Providing help to friends or relatives Often	Providing help to friends or relatives Don't Know
Volunteering your time to some group/activity in your community	Volunteering your time to some group/activity in your community Never	Volunteering your time to some group/activity in your community Rarely	Volunteering your time to some group/activity in your community Sometimes	Volunteering your time to some group/activity in your community Often	Volunteering your time to some group/activity in your community Don't Know

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* 10. Do you consider yourself a caregiver?

Yes