FSA Senior Living Survey

Fairfield Senior Advocates will hold a workshop in October to discuss housing/living options for seniors. At that time we will publish interim results of this senior living survey.
Learn about us at http://www.fairfieldsenioradvocates.com. And follow us on Facebook at http://www.facebook.com/FairfieldSeniorAdvocates .

PLEASE NOTE:
- Individual results will not be published
- All submissions are confidential
- Please submit one per household

What is your resident status in Fairfield?
How long have you lived in Fairfield?
Do you currently:
With whom do you currently live? (Please check all that apply)
Within the next five years, what are your plans for housing?
If you plan to buy a home or condo in Fairfield, what is your target price of house plus renovations to make it meet your needs? (Please skip if not buying in Fairfield)
Do you have a local support network (e.g., family members, supporting friends)?
With “1” being the most significant, please rank (“1”, “2”, ”3”) your top 3 concerns about your ----current living situation in Fairfield? Mark only one concern as most significant in the first column, only one concern as second most significant in the second and the third most significant in the third column
1
2
3
Cost of home maintenance
Current/projected Fairfield property taxes
State of Connecticut taxes
Cost to modify home layout
Feasibility of selling current residence at desired price
Ability to access home equity
Changes affecting my neighborhood
Being able to maintain general quality of life
Other
What do you think the Town could do (if anything)to help control senior housing costs? (Please check all that apply)
Are you familiar with how the current Fairfield senior/disabled tax relief program works?
The Town provides additional services for seniors. In which of the following are you/your household members likely to have an interest? (Please check all that apply)
Are there other services/activities that Town or volunteer groups could provide to improve the quality of life in Fairfield?
Your answer
On what senior living/housing issues would you welcome information?
Your answer
With “1” being the most significant please rank (“1”, “2”, ”3”) the top 3 challenges that concern you about aging? Mark only one concern as most significant in the first column, only one concern as second most significant in the second and the third most significant in the third column
1
2
3
Your health/health of spouse/partner
Mobility issues affecting housing/support needs
Isolation from family/supporting friends
Medical expenses
Property taxes
Current overall household costs relative to income/asset
Feasibility of selling current residence at target price
Ability to access home equity
Climate/weather issues
What is your household work status?
What is your current yearly income (if retired) or projected retirement household income? (optional)
What is your age?
What is your spouse's/partner's age?
What is your gender?
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