Aging in Place

HOUSING

Choice of Residence Are you comfortable in your current residence? Yes ____ No ____ Would you like to remain in your current residence for as long as possible? Yes ____ No ____ Not Sure ____ What makes you want to remain in your current home? (Check all that apply)  Location  Cost  Size (e.g., # bedrooms, square footage)  Familiarity  Local weather  Accommodations for your physical condition  Design features  Energy sources and related costs  Internet access/speed  Proximity to stores and services  Access to local transportation  Proximity to medical care  Proximity to family  Proximity to friends 

A GE IN P LACE ?

OR

M AKE A M OVE ?

Proximity to recreational and/or social opportunities



Other. Please explain

______________________________________________________________ ______________________________________________________________ ______________________________________________________________

Aging in Place: Your Home, Your Community, Your Choice

Housing

8