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HALLANDALE BEACH AGE-FRIENDLY COMMUNITY SURVEY 2017

  1. This survey is to learn about those who live at least part of the time in Hallandale Beach. Which of the following best describes how you reside in the City of Hallandale Beach?

    [CHECK ONLY ONE]

  2. Please provide Zipcode

  3. Which area best describes the area in Hallandale Beach where you live?

    [CHECK ONLY ONE]

  4. Years | Months

  5. How would you rate your community as a place for people to live as they age?

  6. How important is it for you to remain in your current community for as long as possible?

  7. Do you know there’s a community forum each month?

  8. Have you attended the community forum?

  9. How do you usually get around your community for things like shopping, visiting the doctor, running errands, or other things?

    Check all that apply

  10. please specify

  11. Safe and enjoyable parks, places and buildings for you to live and be active

  12. Reliable, accessible and safe transportation options for you to get around including walking, biking, transit, as well as driving

  13. Housing that is affordable, accessible, and adapted to your needs

  14. A wide range of opportunities for you to be social and interact with your neighbors and community

  15. Opportunities to get involved in your local government and advocate for issues you care about

  16. Access to information about services and opportunities

  17. Quality health care and community based wellness and supportive services (senior centers, etc)

  18. Safe and enjoyable parks, places and buildings for you to live and be active

  19. Reliable, accessible and safe transportation options for you to get around including walking, biking, transit, as well as driving

  20. Housing that is affordable, accessible, and adapted to your needs

  21. A wide range of opportunities for you to be social and interact with your neighbors and community

  22. A sense that older adults are welcomed and valued in all settings

  23. A wide range of employment and entrepreneurship opportunities

  24. Opportunities to volunteer and get involved in your local government

  25. Access to information about services and opportunities

  26. Quality health care and community based wellness and supportive services (senior centers, etc)

  27. Which is MOST IMPORTANT for a livable City?

  28. How often do you have contact with family, friends, or neighbors who do not live with you? This interaction could be by phone, in person, email or social media (such as Facebook).

  29. How often do you participate in local activities, programs, or events?

  30. What is your gender?

  31. Does any disability or chronic disease keep you and/or your spouse or partner from fully participating in work, school, housework or other activities?

  32. What is the highest level of education you have completed?

  33. Which of the following best describes your current employment status?

  34. Do you currently volunteer in the community?

  35. What is the main language spoken in your home?

  36. What is your race and/or ethnicity?

  37. Do you own or rent your primary residence?

  38. What type of home is your primary residence?

  39. What was your annual household income before taxes in 2016?

  40. In general, how often do you go online to access the Internet for things like sending or receiving email, getting news and information, paying bills or managing finances or buying products or services? This includes access from home, work, a mobile device (such as a smartphone), or someplace else.

  41. In general, what ways do you prefer to learn about opportunities, services, events or programs available to you in the community? [CHECK ALL THAT APPLY

  42. Leave This Blank:

  43. This field is not part of the form submission.