Which of the following best describes where you live now?
How easy or difficult is it for you to live independently in your home today?
In the past 30 days, which tasks have been hard to do at home? Select all that apply.
- Climbing stairs
- Bathing or showering
- Cooking or meal preparation
- House cleaning or laundry
- Managing medications
- Grocery shopping
- Transportation to appointments
- Using technology or the internet
- None of these
Which home modifications or devices do you currently use? Select all that apply.
- Grab bars or handrails
- Shower chair or bench
- Ramps or no-step entry
- Stair lift
- Medical alert button or wearable
- Smart doorbell or camera
- None of these
Today, how easy or difficult are the following health-related tasks for you?
Who helps you at least once a month? Select all that apply.
- Spouse or partner
- Adult child
- Other family member
- Neighbor or friend
- Paid home care aide
- Community volunteer
- No one
How affordable are your current supports or services (if any)?
How comfortable are you using a phone, tablet, or computer for health tasks?
Please rank these improvements from most to least helpful for staying in your home.
In your own words, what support would help you most to remain in your home?
Max 600 chars
Gender
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Highest level of education completed
Current employment status
- Retired
- Working full-time
- Working part-time
- Homemaker or caregiver
- Unable to work or long-term disability
- Unemployed and looking
- Prefer not to say
Attention check: To show you are paying attention, please select "Yes".
Welcome! This survey takes about 7 minutes. Please answer based on your situation today.
Is there anything else you would like to share about your situation or needs for aging in place?
Max 600 chars
AI Interview: 2 Follow-up Questions on aging in place
Thank you for your time and insights. Your responses will help improve supports for aging in place.