Aging in Place

HOUSING

Choice of Residence Are you comfortable in your current residence?

not at all comfortable

very comfortable

A GE IN P LACE ?

Would you like to remain in your current residence for as long as possible? Yes ____ No ____ Not Sure ____

If you answered “ yes ” or “ not sure ” what makes you want to remain in your current home? (Check all that apply)  Geographic location or locality  Familiarity; emotional connection  Local climate  Cost (e.g., mortgage/rent, taxes, utilities)  Size (e.g., # bedrooms, square footage)  Design features  Accommodations for your physical condition  Internet access/speed  Access to local transportation (e.g., bus, rideshare)  Proximity to stores and services  Proximity to medical care  Proximity to family  Proximity to friends  Proximity to recreational and/or social opportunities  Other ( You can use the lines below to describe why you would prefer to stay in your current home.)

OR

M AKE A M OVE ?

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

Housing