2. East Longmeadow Market Rate Elderly Rental Housing Survey
   The East Longmeadow Council on Aging is investigating the need to bring market rate rental housing for the elderly to East Longmeadow. If mailing the form mail to "328 North Main Street East Longmeadow, MA 01028". The Survey is also available online at http://www.eastlongmeadowma.gov/housingsurvey All fields are required.
6. Zip Code:*
   Enter zip code of your permanent residence.
7. Age:*
8. Gender:*

   1. Male
   2. Female
10. What is your current type of housing?*

    1. Single Family House
    2. Condominium
    3. Apartment Complex
    4. Senior Apartments
11. Do you rent or own?*

    1. Own
    2. Rent
12. How long have you been at your current residence?*

    1. 0 - 9 Years
    2. 10 - 19 Years
    3. 20 - 29 Years
    4. 30 - 39 Years
    5. 40+ Years
16. Would you prefer rental or ownership?*

    1. Rental
    2. Ownership
17. When would you move?*

    1. 2013 - 2014
    2. 2015 - 2016
    3. 2017 - 2018
19. What type of housing would you prefer?*

    1. Single Family Home
    2. Continuing Care Retirement Community
    3. In-Law Apartment
    4. Condo
    5. 62+ rental - subsidized
    6. 62+ market rate rental
    7. Senior Congregate Living
20. Please check up to 5 of your most important amenities:*

    1. Full Kitchen in unit
    2. 24 - Hour Security
    3. Laundry Facilities in unit
    4. First Floor Living
    5. Individually Controlled Thermostats
    6. Air Conditioning
    7. Sufficient Closet / Storage Space
    8. Full Bathrooms (Tub vs. Shower Only)
    9. Single Floor Living
    10. Step-in Showers
    11. Handicapped Accessible
    12. Elevator
    13. Passive Outdoor Recreation Space
22. How far from the center of town would you prefer to be?*

    1. 0 - .5 mile
    2. .5 - 1 mile
    3. 1 - 2 miles
    4. 2+ miles
    5. No preference
23. How many Bathrooms do you need?*

    1. 1
    2. 1.5
    3. 2

    (.5 bathroom means toilet only)
24. How many cars would you keep if you moved into housing?*

    1. 1 Car
    2. 2 Cars
26. How much square footage are you looking for?*

    1. 1 Bedroom - 500 - 700 sq. ft.
    2. 1 Bedroom - 700 - 900 sq. ft.
    3. 1 Bedroom - 900+ sq. ft.
    4. 2 Bedroom - 800 - 900 sq. ft.
    5. 2 Bedroom - 900 - 1100 sq. ft.
    6. 2 Bedroom - 1100+ sq. ft.
27. Why would want you move?*

    check all that apply.

    1. State & Local Taxes (Property tax, etc)
    2. Health & Medical Care
    3. Climate
    4. Downsize
    5. Closer to Family
    6. Move with Family
    7. Job Related
    8. Stay in East Longmeadow
29. If you were to pursue a condominium or market rate rental, what would you anticipate spending a month including utilities?*

    1. Under $1,000
    2. $1,000- $1250
    3. $1250 – $1500
    4. $1500 – $1750
    5. Over $1750
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field