Seniors/ Elders Community Survey
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Community
Which community do you live in? (choose one)
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Which neighbourhood do you belong to?
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Do you have family in the area?
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Would you mind sharing if you are widowed, single, in a relationship?
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Are you a full-time resident?
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Do you belong to any groups such as church, walking, service club or organization, or other? Please list all, thank you.
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Where is your favourite meeting place?
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Would you like to attend activities that bring young and older people together?
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How do you connect with others?
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How often do you connect with others?
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Current Situation
What has been the worst and the best of the situation for you and for any family members.
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Out of this COVID situation, we are hearing local people suggest we find ways to help seniors to stay in their own home and in their own communities longer. If you agree with this, what can be done to support elders in our communities, in your opinion?
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If you know people who moved out of our communities, what do you think was the reason ?
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12 True and False statements which give a sense of community index.
I think my community is a good place for me to live.
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People in my community do not share the same values.
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My neighbours and I want the same things from our community.
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I can recognize most of the people who live in my community
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I feel at home in this community
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Very few of my neighbours know me.
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I care what my neighbours think of my actions.
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I have no influence over what this community is like.
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If there is a problem in my community, the people who live here can get it solved
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It is very important for me to live in this particular community.
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People in this community generally don’t get along with each other.
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I expect to live in the community for a long time.
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Thank you. There are just a few more questions.
Do you have any interests you like to share with others? Maybe like playing pool, quilting, yoga, dancing or crib for example.
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Are there things you want to learn about?
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I hope you don’t mind if I ask you your age.
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Feel free to not answer the following questions if you are not comfortable.
Do you mind telling me what is your gender?
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Do you have mobility challenges?
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Do you use a Wheelchair/walker
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Do you belong to a minority group?
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Which minority group?
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Would you like to get involved?
Are you interested in the following activities: Attend an inter-generational event? Give an example of one you liked.
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Getting trained in technology? Which?
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Can you think of other ways you could contribute?
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Would you like a friendly phone call perhaps once a week?
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If we want to build age-friendly communities where elders, youth, children, and adults can all thrive, do you have anything else you would like to add?
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BONUS - enter the draw for a free bus adventure: If you could have the community bus come and pick you up and take you can take your family bubble or friends anywhere within 100 kms. Where would you go?
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Thank You.
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