* 1. Are you a resident of Mahwah?

* 1a. What is your age?

* 2. How long have you lived in Mahwah?

* 3. How long have you lived in your current residence?

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

* 5. Thinking about your future years, are you more likely to move to a different community, move to a different residence within your current community or stay in your current residence and never more? (CHECK ONLY ONE)

* 6. Some people find that they need or want to move out of their home as they get older. If you were to consider moving out of your current residence, would the following be a major factor, a minor factor, or not a factor at all in your decision to move? a. Wanting a smaller size home Wanting a smaller size home

* b. wanting a larger size home

* c. The cost of maintaining your current residence

* d. Wanting a home that will help you live independently as you age, for example, a home without stairs

* 7. Some people find that they need or want to move out of their community as they get older. If you were to consider moving out of Mahwah, would the following be a major factor, a minor factor, or not a factor at all in your decision to move? a. Your personal safety or security concerns

* b. Wanting to move to an area that has better health care facilities

* c. Wanting to be closer to family

* d. Needing more access to public transportation

* e. Wanting to live in a different climate

* f. Wanting to live in an area that has a lower cost of living

* g. Wanting to live in an area with better opportunities for social interaction

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

* 9. How important is it for you to be able to live independently in your own home as you age?

* 10. As you grow older, would you consider sharing your home with - a. A family member or members, not including your spouse

* b. A friend

* c. A stranger, someone I do not know

* 11. Some people find that they need to make modifications to their residence to enable them to stay there for as long as possible. Does your current residence need any major repairs, modifications, or changes to enable you to stay there for as long as possible?

* 12. Would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. Sidewalks that are in good condition, safe for pedestrians, and accessible for wheelchairs or other assistive mobility devices

* b. Well-lit, accessible, safe streets and intersections for all users

* c. Audio and visual pedestrian crossings

* d. Separate pathways for bicyclists and pedestrians

* e. Well-maintained streets

* f. Easy to read traffic signs

* g. Enforced speed limits

* 13. Would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. Well-maintained homes and properties

* b. Affordable housing options for adults of varying income levels such as older active adult communities, assisted living and communities with shared facilities and outdoor spaces

* c. Well-maintained, safe low-income housing

* d. Well-maintained parks

* e. Safe parks

* f. Public buildings and spaces including restrooms that are accessible to people of different physical abilities

* g. Enough benches for resting in public areas like parks, along sidewalks, and around public buildings

* h. Conveniently located emergency care centers

* i. Conveniently located public parking lots and areas to park including handicapped parking

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

* b. Drive yourself

* c. Have others drive you

* d. Use a ride source company such as Uber or Lyft

* e. Use a special transportation service, such as one for seniors or persons with disabilities

* f. Some other way

* g. I do not get out of the house

* 15. Would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. Accessible and convenient public transportation

* b. Affordable public transportation

* c. Well-maintained public transportation vehicles

* d. Timely public transportation

* e. Safe public transportation stops or areas that are accessible to people of varying physical abilities

* f. Special transportation services for people with disabilities and older adults

* 16. Thinking about health and wellness services in your community, would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. Affordable health and wellness programs and classes in areas such as nutrition, smoking cessation, and weight control

* b. Affordable fitness activities specifically geared towards older adults

c. Conveniently located health and social services

* d. A service that provides people to help seniors easily find and access health and supportive services

* e. Affordable home care services including personal care and housekeeping

* f. Easily understandable and helpful local hospital or clinic answering services

* g. Access to telehealth care services

* 17. How often do you have contact with family, friends, or neighbors who do not live with you?

* 18. How often do you feel the following? a. I lack companionship

* b. I feel left out

* c. I feel isolated from others

* 19. If you were in trouble, do you have friends or family who can help you at any time of the day or night?

* 20. Do you use the following sources for continuing education or self-improvement classes or workshops in your community? a. Department of Parks & Recreation

* b. Faith Community

* c. Local organizations or businesses

* d. Senior Center

* e. Online Programs

* f. Some other source

* g. I do NOT participate in any continuing education/self-improvement classes

* 21. Would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. conveniently located entertainment venues

* b. Activities geared specifically towards older adults

* c. Activities that offer senior discounts

* d. Activities that are affordable to residents

* e. Activities that involve both younger and older people

* f. A variety of cultural activities for diverse populations

* g. Local schools that involve older adults in events and activities

* h. Continuing education classes or social clubs to pursue new interests, hobbies or passions

* i. Driver education or refresher courses

* j. Access to reliable and affordable in-home high-speed Internet

22. Would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. A range of flexible job opportunities for older adults

* b. Job training opportunities for older adults who want to learn new job skills within their job or get training in a different field of work

* c. Jobs that are adapted to meet the needs of people with disabilities

* d. Policies that ensure older adults can continue to have equal opportunity to work for as long as they want or need to regardless of their age

* 23. Would you rate Mahwah as excellent, very good, good, fair, or poor on having the following? a. Offering options to volunteer in our community?

* b. Do you feel that you are encouraged and able to participate in the development of policies relevant to your life?

* c. Do you feel like there is a wide variety of activities offered to older adults?

* d. Do you feel like you are encouraged to participate in activities offered to older adults?

* e. Do you feel the activities in your community appeal to a diverse population of older adults?

* f. Are events held at convenient times for older adults?

* g. Are activities affordable with no hidden or additional participation costs?

* 24. Would you turn to the following resources if you, a family member or friend, needed information about services for older adults such as caregiving services, home delivered meals, home repair, medical transport, or social activities? a. Local senior centers

* b. Office of Healthy Aging

* c. Family or friends

* d. Local nonprofit organizations

* e. AARP

* f. Faith-based organizations like churches or synagogues

* g. Internet

* h. Your doctor or other healthcare professional

* i. Local government offices like human services or the health department

* j. Library

* k. Some other source

* Would you rate your community as excellent, very good, good, fair, or poor on having the following? a. Access to community information in one central source

* b. Clearly displayed printed community information with large lettering

* c. Free access to computers and the Internet in public places such as the library, senior centers or government buildings

* d. Community information that is delivered in person to people who may have difficulty or may not be able to leave their home

* e. Community information that is available in a number of different languages