District of Wells Age-Friendly Assessment: Older Adult

The District of Wells is undergoing an Age-friendly Assessment. “Age-friendly” means having a place to live where older adults can live safely, enjoy good health and stay involved in their community. The first step in the process is to hear the voices of the community members in regards to seniors services and issues. We would appreciate you taking 15 minutes of your time to complete this online survey. Your help would be greatly appreciated.

All of the questions in this survey are optional. If you are not comfortable answering a question you can skip by it. Please keep in mind the survey questions have all been included for a reason. All of your answers are confidential.

By filling out this survey you are adding your voice to clarifying the needs and priorities of those age 65+ in your community. If you have any questions about the survey or the consultation process, please contact Kate Milne at kate@cardeahealthconsulting.com.

Thank you for your participation!

1. What is your age?

2. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements regarding outdoor spaces and public buildings features in Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

3. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements regarding transportation features in Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

4. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements about housing features in Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

5. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements about respect and social inclusion of seniors in Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

6. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements about social participation of seniors in Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

7. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements about communications and providing information to seniorsin Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

8. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements about civic participation and employment for seniorsin Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

9. On a scale from 1 (strongly disagree) to 4 (strongly agree), please rate what you think of each of the following statements about quality of community support and health services for seniorsin Wells. The more positively you think of a feature, the higher you would rate it. If the statement does not apply to you, or you don't know about the topic, please answer N/A (not applicable).

1-Strongly disagree2-Somewhat disagree3-Somewhat agree4- Strongly agreeN/A

10. Are you: