Broome Age-Friendly Project Survey of Adults Age 55+ Question Title * 1. How would you rate your community as a place to live as people age? (select one) Excellent Very Good Good Fair Poor Question Title * 2. What about your community makes it a good place for people to live as they age? (select two) Housing options Cultural opportunities Activities for older adults Low crime/safety Hospitals/health services Parks and recreation Services for older adults Cost of living Learning opportunities Transportation options Other: Question Title * 3. What would make the community a better place for people to live as they age? Question Title * 4. How confident are you that you will be able to continue living in your current residence for as long as you would like? (select one) Very confident Somewhat confident Not too confident Not confident at all Question Title * 5. What are some reasons you might consider moving from your current home (check all that apply) I don't plan on moving To be closer to family or friends Reduce living costs Lower crime/more safety Needing more services for older adults More access to parks and recreation More activities for older adults No longer able to maintain my home Need for more accessible housing Different climate Better transportation options Better access to hospitals/health services More access to cultural opportunities Other: Question Title * 6. Do you feel that there are enough social activities in your community for older adults? Yes No I don't know Question Title * 7. What activities would you like to see that are not currently available? Question Title * 8. If you don’t currently go to a senior center, that is because… Question Title * 9. Do you currently volunteer? Yes No, because I don't know where to look for volunteer opportunities. No, because I only want a paid position. No, because I am not interested in volunteering. No, because I am interested in volunteering but don't like the opportunities available. No, because I am interested in volunteering but don't like the time expectations of opportunities offered. No, because I don't have time. I would prefer to volunteer in this way: Question Title * 10. Do you have internet at home? Yes No If no, why not? Please explain: Question Title * 11. Is there anything else you would like to share about making your community a better place to age in place? Question Title * 12. Where do you live? (City/Town/Village) Question Title * 13. How old are you? Question Title * 14. How do you identify? Male Female Other: Question Title * 15. What is your race and/or ethnicity? African American Asian Native American White Mixed Race I prefer not to answer Other: Question Title * 16. Are you of Hispanic or Latino/a origin? Yes No Done