Health Management Associates (HMA) is working with the City of Boston’s Age Strong Commission & Human Services Cabinet to help provide better programming (events & activities) for Boston’s older adults (age 60+).

We want your input! By sharing your feedback, we can provide more accessible, fun & meaningful programs moving forward.

Thank you!

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* 1. Would you like to do an in-person focus group with other older adults:
If so, please provide your name, phone number, preferred language, and email address.
(please print clearly)

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* 2. What is your zip code?

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* 3. How would you describe your gender identity? (Man, woman, non-binary, gender non-conforming, genderqueer, etc.)

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* 4. Do you identify as (select all that apply)

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* 5. Do you identify as Hispanic/Latinx?

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* 6. Do you identify as LGBTQIA+?
(lesbian, gay, bisexual, transexual, queer)

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* 7. Do you have ADA accessibility needs?
(Americans with Disabilities Act, such as a wheelchair or other)

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* 8. Are you a Veteran?
(Army/Navy/AirForce/Marines)

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* 9. How old are you?

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* 10. Are you a citizen returning after being in jail?

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* 11. Are you a primary caretaker for any dependent(s) such as children?

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* 12. What is your primary or preferred language?

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* 13. Which country were you born in?

 
 33% of survey complete.

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