Seniors Survey - May 2020
Hi Everyone,

How are you doing?

This is not only a nice way of saying hello, but also something I am really interested in. The unusual situation we are being presented with is easier to deal with for some than for others, for various reasons.
We would like to learn about the needs and concerns of seniors so that we can address them.

Please take a few minutes to fill out this form, even if you are doing well, as this information will be very helpful in directing time and funding to its best use.

Thank you so much!

Carina and Team

Seniors Helping Seniors
1. Do you currently live on Cortes Island?
Clear selection
2. Are you currently.... ?
Clear selection
3. How many people are in your home?
4. Do you feel physically and emotionally safe at home?
Clear selection
5. Do you feel isolated?
Clear selection
6. Do you feel....?
7. Is lost income due to Covid-19 a challenge for you?
Clear selection
8. Is accessing new government covid-19 programs a challenge for you?
Clear selection
9. Do you need help navigating any of the Covid-19 programs?
10. Do you need help to obtain any of the following?
11. Do you need help lifting or moving heavy items?
12. Would you like to get help to become more self-sufficient and grow more food?
13. Would you be interested in regular meetings with other seniors on Cortes?
14. Would you be interested in getting connected in a network with your neighbourhood? The Potlatch neighbourhood has a good model from which we could learn.
15. Were you exercising before Covid-19?
Clear selection
16. Are you exercising now?
Clear selection
17. Would you join online exercise programs?
Clear selection
18. Is internet access a challenge for you?
19. Are you comfortable using the internet?
Clear selection
20. Which, if any, of the following, do you use?
21. Which, if any, would you like to learn?
22. What is the best way for you to learn how to better navigate the internet?
23. We will keep this information confidential. You can share your name and contact details (phone & email) here if you wish, or you can opt to stay anonymous.
Thank you!
Thanks for taking the time to share.
Big hug!
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