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Age-Friendly Community Survey

The Town of Hampton is conducting a community age-friendly survey for residents aged 50 plus, with the assistance of the Town’s Age-Friendly Community Ad hoc Committee.  The committee will also be hosting focus groups and completing an assessment of our community’s assets. The goal of this project is to move Hampton closer to being an age-friendly community that supports a good quality of life for our population as they age.  This survey should only take 20 minutes of your time. All information will remain confidential and will not be used for purposes outside the scope of the committee. Surveys must be completed by September 15, 2021. If you do not wish to answer a question, you can leave it blank. For more information about this survey or to participate in a focus group, please call Gena Fowler, Director of Leisure Services, at 832-6102 during regular office hours or email gena@townofhampton.ca. The committee sincerely thanks you for your participation!





Fill out the survey form below to participate:




Please note: Use this format E5N2A1. This question must be answered for your survey to be included. Your postal code will not be used to identify you in regards to your other answers.
Have any of the following worries about crime kept you from using public outdoor spaces in Hampton?
Please select all the apply
Have any of the following lighting concerns kept you from using public outdoor spaces in Hampton?
Please select all that apply
Have any of the following limited access to public washrooms kept you from using public outdoor spaces in Hampton?
Please select all that apply
Have any of the following limited access to sidewalks kept you from using public outdoor spaces in Hampton?
Please select all that apply
Have any of the following limited access to crosswalks kept you from using public outdoor spaces in Hampton?
Please select all that apply
Have any of the following limited access to public seating/shelters kept you from using public outdoor spaces in Hampton?
Please select all that apply
Have any of the following limited access to transportation kept you from using public outdoor spaces in Hampton?
Please select all that apply
Have any of the following kept you from using buildings in Hampton?
Please select all that apply
How do you usually get around Hampton?
Please select all that apply
If you have a vehicle (car, truck, motorcycle), have any of the following kept you from using your vehicle as much as you would like to get around Hampton?
Please select all that apply
Have any of the following kept you from walking, running, jogging or biking to get around Hampton?
Please select all that apply
Would you use or require any of the following forms of transportation?
Please select all that apply
Select the answer that is most likely
Before the changes due to the pandemic, have you gone to any of the following?
Check all that apply
Select any of the following that keep you from taking part in social, cultural or recreational activities:
Check all that apply
If you answered "no" or "unsure" to the last question, please select any of the following that keeps you from volunteering:
Check all that apply
In the past 12 months, how do you usually get the information you need about Hampton?
Check all that apply
How would you like to get the information you need about Hampton?
Check all that apply
Please select any of the following food programs that you use:
Check all that apply.
Have you used any of the following services when you need health care?
Check all that apply.
In the past 12 months, have you needed help with any of the following tasks?
Check all that apply.
If in the previous question you indicated that you needed help with specific tasks in the past 12 months, please select the tasks that you were able to get help as needed for.
Check all that apply.
Select the answer that is closest to being correct