Aging in Place
CONNECTION & GROWTH
Opportunities for Fulfilling Activities Do you have enough opportunities to do things that interest and/or challenge you? Yes____ No____ Not Sure ____
If you answered “ no ”: What interests would you like to pursue? (Select all that apply) Gardening Games (solo or with friends)
Carpentry/Woodworking Hunting/Fishing Hiking or Nature Walks Outdoor Hobbies (i.e. birding, camping) Genealogy/History Solo Exercise (i.e. cycling, swimming) Group Exercise, Classes, or Sports Car Repair/Restoration Other: ___________________
Reading or Writing Visual Art or Crafts Music or other Performing Arts Charitable or Civic Work Competitive Activities Touring/Travel Teaching or taking classes
Do you enjoy traveling either internationally or domestically? Yes____ No____
Are you able to travel as much as you would like? Yes____ No____ Not Sure ____
If you answered “ no ” or “ not sure ”: What is preventing you? Finances Lack of a travel partner Family/caregiving responsibilities Not experienced with travel Physical limitations and/or health challenges Other: _________________________________________________________
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Aging in Place: Your Home, Your Community, Your Choice
Connection & Growth
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