Address

East Boulder Senior Ctr
5660 Sioux Drive
Boulder, CO 80303

303-441-4150
303-413-7495 fax 

West Boulder Senior Ctr
909 Arapahoe
Boulder, CO 80302
303-441-3148
303-441-4149 fax

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Senior Services Survey

Demographics

1. I am a resident of the City of Boulder Yes No

2. My age is:
50-59 years
60-69 years
70-79 years
80-90 years
90+ years

3. My gender is:
Male
Female
Prefer not to say/Other

4. My race/ethnicity is (you may check more than one):
American Indian or Alaskan Native  Asian, Native Hawaiian or Pacific Islander
Black or African American Hispanic or Latino
Other Prefer not to say/Don't know
White   

Survey

5. When referring to people over the age of 60, which term do you prefer?
Elderly Elders
Mature adults Older adults
Older people Other
Seniors  

6. For most of your local trips, how do you travel? (Please mark only one.)
Drive yourself
Ride with someone
Take public transportation
Take senior van/shuttle/minibus
Other

7. In the last 12 months, which programs or services have you utilized at any location? (You may check more than one.)
Education or technology classes or programs
Encore

Fitness and sports classes and programs

Information or referral services

Leisure/Recreational activities

Meals on Wheels

Personal care (massage, health screenings/clinics)

SilverSneakers©Fitness Program

Social activities such as day trips or weekend trips

Volunteer opportunities

8. How do you prefer to hear about senior programs, activities, or services? (Please choose your top three):

First Choice
Second Choice
Third Choice

9. How would you rate the overall quality in and ability of the Boulder Senior Centers (East and West centers) to meet the needs and wants of older adults in the community?

Average Below average
Excellent Good
Poor Prefer not to say/Don't know

10. Rate what is most important for the Boulder Senior Centers to provide (please rank your preferences in order of importance by choosing 1, 2, 3, etc for only those methods you prefer):

First Choice:
Second Choice:
Third Choice:

11. When thinking about which facilities or programs to utilize, how important is each of the following considerations? (Please rank your preferences in order of importance by choosing 1, 2, 3, etc for only those methods you prefer.)

First Choice:
Second Choice:
Third Choice:

12. What is preventing you from coming more to the Boulder Senior Centers? (Check all that apply.)

A physical or mental disability or impairment Cost of classes, programs, activities
Does not feel diverse or inclusive (e.g. language barriers) Inability to leave someone (child, adult) you care for
Lack of variety in classes, programs, activities Other
Problems with transportation/location of center Religious/Cultural reasons

13. What would encourage you to come in more? What do you want?


14. Do you think enough programs, services, and activities or classes of interest at the Boulder Senior Centers appeal to males?
Yes No

If not, what would you suggest?



15. Can you think of any new direction the Boulder Senior Centers should go in, or anything different we should consider?



Thank you very much for your interest in Boulder Senior Services. We appreciate your time and look forward to incorporating your valuable feedback!

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