Age Friendly Survey
Age Friendly Thunder Bay is conducting this survey to identify senior needs in the City of Thunder Bay.
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1. What concerns you about senior living conditions in Thunder Bay?
Please select the top three that are most important to you:
1a. IF you selected "Health (i.e., falls, doctor access, health concern needs)" in the previous question, please explain in the text box below. 
Otherwise, please skip this question.

2. What is one thing you like about living in Thunder Bay?

3. What services/programs for seniors do you feel are missing or needed in Thunder Bay?

4. Are you aware of Age Friendly Thunder Bay?

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5. Would you like more information about Age Friendly Thunder Bay?

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6. Are you aware of the Age Friendly Community Resource Book?

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7. Are you aware of the Age Friendly website (www.agefriendlythunderbay.ca)?

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8. Are you aware of the Age Friendly newsletter?
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9. Do you live independently in your own house/apartment, with family, in a retirement residence, or in long-term care?

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10. Have you heard about shared housing programs?

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11. Do you leave your home regularly for social outings?

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12. What social outings or groups/organizations do you attend or are involved in (e.g., church, community center, theater, exercise groups, 55 Plus Centre)?

13. What method of transportation do you most regularly use?

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14. Do you use a computer or have access to one?

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15. Do you need help with your computer or would you like to learn more about using your computer?

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16. Do you watch the Rogers Age Friendly TV Show (formerly SHAW Spotlight)?

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17. What is your age group?

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18. Do you live within the Thunder Bay City limits?

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18a. If you do not live within City limits, which township or municipality do you reside in?
If you live within City limits, please skip this question.  

19. Would you like more information on the following Age Friendly committees and/or programs (please select which ones interest you)?

20. Do you want to be on the Age Friendly Thunder Bay contact list?

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If interested, please leave your contact information:

Name:
Phone:
Email Address:
Address:
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