To better serve you, management is conducting a survey of all residents. Your response is very important to us. Please take 10 minutes to complete the survey. Survey data will be confidential Residents who respond by November 22 will be entered into a drawing for $20 gift cards.

Please complete the survey by no later than December 2. Thank you for your help!

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* 1. What is your gender?

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* 2. What is your age?

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* 3. What is your marital status?

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* 4. How long have you lived at Martin Avenue Apartments?

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* 5. Do you have a Primary Doctor near home?

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* 6. What is your primary health insurance?

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* 7. Do you have any physical disabilities?

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* 8. Do you use any aids for walking or balance now?

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* 9. Do you have family or friends nearby who help you when needed?

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* 10. Have you used VNA Health Care Services at Martin Avenue? 

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* 11. Do you wear eyeglasses or use a hearing aid?

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* 12. Do you need help finding and paying for any of these health services?

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* 13. Are you aware of the new Road to Health Program at Martin Avenue Apts. that can reimburse you for qualified dental expenses?

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* 14. Should the Road to Health Program add Vision and Hearing costs to qualified reimbursements?

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* 15. Have you met with the new Social Services Coordinator here to discuss
your needs?

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* 16. What kind of help do you need?

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* 17. What health issues do you need help with?

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* 18. Does the Activity Programming here meet your needs?

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* 19. How do you usually find out about activities scheduled for residents?

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* 20. What social activities are you interested in doing?

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* 21. Are any of these services important to you here?

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* 22. Do you attend fitness classes at Martin Avenue Apts,?

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* 23. Do you worry about any of these things?

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* 24. Do you need instruction on using a computer, ipad, or cell phone to communicate, access the internet, or register for activities here?

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* 25. Which of the following devices do you use to connect to the internet? (Check all that apply)

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* 26. How has affordable apartment rent here improved your life?

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* 27. If you didn't get rent assistance and food assistance here, where would you go to get help with your monthly expenses?

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* 28. What do you like best about Martin Avenue Apartments?

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* 29. What would you change to improve life at Martin Avenue Apartments?

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* 30. Is there anything else you would like us to know?

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* 31. Can we contact you if we have questions?

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