Holdrege Nebraska Elderly Housing and Services Survey
Holdrege Memorial Homes is currently conducting an Assessment to determine both the short- and long-term senior housing and services needs of persons and families in Holdrege.  The Assessment will include the identification of both current and future housing and services needs of elderly persons in the Community.  Please complete this Survey by FRIDAY, FEBRUARY 3RD.
 
1.

Gender.

Male
Female
2.

Do you own or rent where you live now?

Own
Rent
3.

What is your current age?

Under 55
55-64
65-74
75-84
85+
4.

Which of the following additional housing types are needed in Holdrege, for persons 55+ years of age, during the next 10 years?  Please check your top 3.

Single Family Home
Duplex - Rent w/ Services
Duplex - Purchase
Town Home - Rent
Town Home - Purchase
Nursing Home/Long-Term Care
Apartment - Purchase
Assisted Living Housing
Independent Living One-Bedroom Apartment - Rent w/ Services
Independent Living Two-Bedroom Apartment - Rent w/ Services
Other  
5.
Please rate the quality of the following Support Services for Seniors in Holdrege.
 Excellent Good Fair Poor  
Case management/Legal Aid  
Cultural/Language Assistance  
Continuing Education Opportunities  
Employment Opportunities/Trainin-
g
 
Adult Day Care Services  
Alcohol/Drug Abuse Services  
Food/Meals-On-Wheels  
Home health  
6.
CONTINUED: Please rate the quality of the following Support Services for Seniors in Holdrege.
 Excellent Good Fair Poor  
Memory Care  
Counseling Services  
Aids for Disabilities  
Lawn Care/Snow Removal  
Auto Repair  
Finance Assistance/Management  
Health Services (Mental, Physical, etc.)  
Law Enforcement  
Senior Social & Recreation Activities  
7.
CONTINUED: Please rate the quality of the following Support Services for Seniors in Holdrege.
 Excellent Good Fair Poor  
Housing (Permanent, Transitional, etc.)  
Home Repair/Rehabilitation Services  
Transportation (General, Emergency, etc.)  
Volunteer Opportunities  
Veteran Services  
Homeless Services  
Other (Please Identify)  
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8.
If you plan to change your housing in 10 years, which of the following housing types would you be most interested in moving to?  Please check your top 3.
Single Family Home
Duplex - Rent w/ Services
Duplex - Purchase
Town Home - Rent
Town Home - Purchase
Nursing Home/Long-Term Care
Apartment - Purchase
Assisted Living Housing
Independent Living One-Bedroom Apartment - Rent w/ Services
Independent Living Two-Bedroom Apartment - Rent w/ Services
Other