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HomeMy WebLinkAboutAgenda CC 06.16.2011Notice of Meeting of the Governing Body of the City of Georgetown, Texas JUNE 169 2011 The Georgetown City Council will meet on JUNE 16, 2011 at 6:00 P.M. at the Council Chambers at 101 E. 7th Street If you need accommodations for a disability, please notify the city in advance. Regular Session (This Regular Session may, at any time, be recessed to convene an Executive Session for any purpose authorized by the Open Meetings Act, Texas Government Code 551.) A -Call to Order SPECIAL WORKSHOP SESSION TO BEGIN NO EARLIER THAN 6:00 PM B Discussion and possible action regarding the redistricting process and criteria, and review and discussion of potential redistricting models supplied by Bickerstaff Heath Delgado Acosta LLP -- David Mendez, Bickerstaff Heath Delgado Acosta LLP C - Adjournment Adjournment Certificate of Posting I, Jessica Brettle, City Secretary for the City of Georgetown, Texas, do hereby certify that this Notice of Meeting was posted at City Hall, 113 E. 8th Street, a place readily accessible to the general public at all times, on the � �_) day of 1 JUT. , 2011, at 3-' 3U and remained so posted for at least 72 c ntinuous hours preceding the scheduled time of said meeting. A-41Q J sic Brettle, Cit Secretary Executive Session Motion MOTION: Motion to authorize the Assistant City Attorney to file a lawsuit, and proceed to judgment, for collection of the amount past due and owing for water, wastewater, stormwater drainage, and electric utility services provided at 701 S. Main St., Georgetown, Texas. Executive Session Motions MOTION: Motion to authorize th Mayor to execute the Real Estate Transaction for the GUS Westside Service Center in th Iamount 40*944ftiO plus applicable • and necessary broker fees as described in Executive Session. MOTION: Executive Session Motions MOTION:IN Motion to authorize th Mayor to execute the Real Estate Transaction for the GUS Westside Service Center in th amount �6 plus applicable closing and necessary broker fees as described in Executive Session. MOTION: Motion to authorize Staff to evaluate, research and initiate efforts to mitigate the impacts of elimination of the Market Price Option program by the LCRA by seeking out all available options to reduce energy costs as a result, possibly coordinating with other utilities of like circumstances under the same contract restrictions and return for council consideration the results of those efforts. Citizen Comment Form GEORG 60'80W For Posted Agenda Items TEXAS To address the City Council on a postedagenda item, complete this form and submit it to the City Secretary, on the dais, prior to the discussion of the item at the meeting. Meeting Date: 14 Agenda Item. . Je L, �4 c .«.. - j s If speaking for an organization, �o �-� c,V rt�nvi Name of Organization: � � o ctx Speaker's Official Capacity: ►��S Disclaimer: By submitting this request to address City Council, I agree that I will keep my comments to the subject listed. I will refrain from the use of any obscene, vulgar, or profane language. I understand that if I do not follow this procedure, my speaking time may be terminated and I may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. City Council Procedure for Citizen Comment on an Agenda Item: L Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council, six minutes if another citizen has signed over their time 48 )WN 1 L11[-LV Citizen Comment Form For Posted Agenda Items To address the City Council on a posted agenda item, complete this form and submit it to the City Secretary, on the dais, prior to the discussion of the item at the meeting. Meeting Date: .� Agenda Item: Name: O SS - Residence Address: `1V If speaking for an organization, Name of Organization: Speaker's Official Capacity: ZC-11 `r u /G/ -e - Gt�' �+...cCf J (7j-c��.� Disclaimer: By submitting this request to address City Council, I agree that I will keep my comments to the subject listed. I will refrain from the use of any obscene, vulgar, or profane language. I understand that if I do not follow this procedure, my speaking time may be terminated and I may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. City Council Procedure for Citizen Comment on an Agenda Item: 1. Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council; six minutes if another citizen has signed over their time OW-11 2011 / 2012 City Council Workshop June 14, 2011 ❑ Review capital improvement program process • Review funding summary for the capital improvement program ❑ Review summary of projects Georgetown Transportation Advisory Board (GTAB) reviewed project details at May 13th meeting Georgetown Utility Systems (GUS) Advisory Board reviewed project details at May 13th meeting Both boards recommend approval of the CIP's z The City has made the CIP Budget available to the citizens for comments and as of June 02, the 2012 CIP site has received: * Page views 588 * Top pages visited: Transportation 220 times Water services 109 times Energy Services 102 times 3 c Starts in January Includes meetings at January department and division Initial Department level to formulate project Meetings formulating May/June lists projects in CIP Present CIP to Boards ._ The master plan proposed FiF:::and City Council projects are reviewed for February any operational issues, regulatory requirements Division Meetings to September and maintenance needs coordinate projects in CIP Adopted along with Recommendations are presented to the I Annual Operating Plan Georgetown Utility March Systems Advisory Board and the City Council Finalize CIP funding plan and financial The Capital Improvements recommendations are included in the Annual Operating Plan 4 2 o Program funding for 2011/12 comes from a variety of sources, including: Operating Revenue Street Maintenance Sales Tax General Fund Bonds Impact Fees Program costs for 2011/12 is projected to be $16.7 million 2011 / 12 Summary (000s) Funding Operating Revenue $7,815 Street Maintenance Sales Tax $1,582 General Fund $556 Certificates of Obligation $2,820 General Obligation Bonds $2,500 Impact Fees $1,100 Interest & Other $350 Total $16,723 Project Costs Georgetown Utility Systems: Water Services $5,214 Transportation Services $5,531 Energy Services $3,395 General Governement $2,500 Debt Issuance Cost $83 Total $16,723 r-, Capital Improvement Program address need for superior water, wastewater and irrigation service L] Determined by many factors Meet state and federal requirements Rehabilitation of aging infrastructure Service improvement Customer base growth 6 3 Funding comes from a combination of cash, debt financing, and capital recovery fees 1... Impact fees were set last year and did indicate proposing an increase. (city council, along with staff and Boards, determined that economic conditions did not warrant the increase at this time.) Project Cost 20 V, 15 c 2 10 now 11/12 12/13 13/14 14/15 15/16 Five Year Funding Interest & Impact fees other �- i' Operating revenue/ Bond proceeds c Water Line Upgrades $1,057,000 Includes streets Paige N. Side Old Town Tin Barn Alley 17th Street & Austin Ave. S. Austin Ave. West Loop (h-lb) Phi $408,000 8 M Edwards Aquifer Compliance $1,000,000 =rktn Wastewater Line Upgrades $337,000 S. I H 35 (car dealers) Force Main $131, 0 0 0 ti. Sun City LS 4t" pump $763,000 E Lift station upgrades $250,000 ❑ Pecan Branch WWTP Expansion $1, 268, 000 ❑ Capital Improvement program provides maintenance and rehabilitation of road segments identified by the Pavement Management Information System ❑ The five year plan is funded from the General Fund and the Street Maintenance Sales Tax The Street Maintenance Sales tax must be reauthorized by the voters every four years, most recently in November 2010. 9 10 5 Funding comes primarily from the Street Maintenance Sales Tax Due to lower than expected sale tax revenues the budget was reduced. This Tax was reauthorized by voters in 2010 and will go back before the voters in 2014 o Georgetown's streets are in good condition overall PCI is 93 (2008). Streets retested in 2011, results due later this year. Project Cost $8.0 $6.0 $4.0 $2.0 $0.0 11 /12 12/13 13114 14/15 15/16 Five Year Funding General Obligation Bonds General Street Fund & Maint. other Sales Tax ® Street Maintenance 2012 $1,582,000 Rejuvenator Micro surface Street Overlay Street Rehabilitation 2012 $463,000 Includes: 13th St - Hutto to End Peach Tree Ln. - E University to End 14th St- Maple St to Olive St E. 141h St -Myrtle St to College St Virginia St - E. 16th St to E. 19th St ;5i 12 Z ri Stormwater Drainage Utility manages and maintains stormwater infrastructure operations and facilities Capital Improvement Program continues to address federal regulations regarding stormwater control in municipalities Funding for five year capital program comes from Stormwater Drainage Utility. Project Costs $800.0 5600.0 c N S400.0 o $200.0 ~ So.0 11 /12 12/13 13/14 14/15 15/16 Five Year Funding Operating Revenue 13 14 7 ❑ Curb and Gutter Replacements $300 000 is Maple Street Drainage Ditches $265,000 W ❑ Capital Improvement Program address the community's need for superior electric service. Determined by many factors Meet state and federal requirements Rehabilitation of aging infrastructure Service improvement for reliability Customer base and load growth 16 o Funding for five year capital program comes from Electric utility. Project Costs S4.0 c $3.0 - - - $2.0 $1.0 $0.0 11112 12/ 13 13/ 14 14/ 15 15/ 16 Five Year Funding Operating Revenue System Expansion - $ 960,000 17 Service extensions to new residential, commercial and retail developments Extension of mainline distribution feeders to service new developments Addition of power banks to substations to serve increasing loads System Improvement - $1,280,000 Replacing aged and deteriorated infrastructure. Continue project to rehabilitate underground and overhead facilities in the neighborhoods 18 FA n Substations & Communication $1,155,000 Substations Low Voltage Buss and breaker additions Substation mechanical switch upgrades Upgrade to Fiber for Traffic signals Fiber extension and upgrades to City facilities c Capital Improvement Program guides the planning and construction of city facilities. The plan addresses the immediate , five- year and long-term facility needs. L Determined by many factors Meet Public safety issues Service improvement Citizenship growth 19 20 10 Funding comes from a P combination of cash, Project Cost �n 14/15 15/16 ding 00 Plan officially adopted as part of the 2011/12 Budget 23 12 Georgetown Aging Initiative Request for City Sponsorship Proposal: The Georgetown Aging Initiative Advisory Committee is requesting co- sponsorship by the City of Georgetown for a survey and focus groups we are conducting to identify our City's needs and assets in serving older adults. Georgetown Aging Initiative: The Georgetown Aging Initiative began meeting in 2009 with the goal of making our city a community of excellence for older residents and their caregivers. The Initiative is comprised of key leaders in the Georgetown community who have an interest in the well being of older adults. Assessment of Community Needs and Strengths: The Georgetown Aging Initiative Advisory Committee is working with Family Eldercare to conduct a comprehensive community assessment of older adults' needs and services. The assessment will consist of four components: 1. Focus groups with older adults 2. Comprehensive survey of older adults 3. Focus groups of key leaders 4. Inventory of existing services The intent of the focus groups and survey is designed to collect seniors' perspectives on local health, social service and transportation services, opportunities for social and civic engagement and support for families and caregivers of older adults. Request: We are seeking co-sponsorship by the City in order to reach as many seniors as possible. Broad community participation is essential to ensuring that our assessment accurately reflects the opinions of all our senior residents. Given the city's commitment to the initiative adds credibility and value to the survey and focus groups. Results from the assessments will be helpful to the City in its planning efforts. Co-sponsorship will provide us with the following benefits: • Promotion of the survey through announcements on the City web site (including Library and Parks and Recreation sites), the Library (digital displays and bulletin board) and the Recreation Center (bulletin board) • Cable Channel 10 Public Service Announcement • Announcements in the City Reporter newsletter, and • Utility bill inserts We are also requesting the City's assistance to: • Host the survey on-line so that residents can access it through the City web site (including links from Library and Parks and Recreation sites) • Provide free meeting space for focus groups and survey outreach (at Library or Recreation Center) • Assist in providing local data to inform the assessment process Page 1 of 5 FW: Georgetown Aging Initiative presentation to City Council George G. Garver to: Brettle Jessica 05/28/2011 02:01 PM Cc: Paul. Brandenburg Show Details Security: To ensure privacy, images from remote sites were prevented from downloading. Show Images From: Dan Bonner [mailto:dancucrCd)aol.com] Sent: Saturday, May 28, 2011 1:53 PM To: georgegarver@suddenlink.net Subject: Georgetown Aging Initiative presentation to City Council George, What an incredible ministry! In these days, COR is a blessing to us all. Sue and I go to Springfield, MO this next weekend for our annual conference. Joplin will be on everyone's mind and heart. COR's response is a great example of faith in action, and will, no doubt, model for many other congregations' response in the region. On another subject, the Georgetown Aging Initiative is ready to present our request for partnership with the City of Georgetown. We are organizing to make this request in a 12-15 minute presentation to the council on June 14. We are ready to begin the data gathering phase of our study. I, along with Bob Brent, George and Barbara Brightwell, and Ron Swain, will make the presentation. Members of our working group will be visiting with each council member prior to our presentation so familiarize them with our proposal and strategy. contacted Paul's office, as you suggested, and was told to simply fill out the forms to get on the agenda. No money is being requested from the city for this effort. I attach here the partnership proposal, our time -line, and an illustration from Sonora, CA's survey instrument which will serve as a model which we shall customize for our survey of Georgetown's senior adult current and future needs and capacities. Please look these over and let me know if you have questions or concerns. We all greatly appreciate your guidance about the timing and presentation of this proposal. My personal recovery continues slowly. All the medical people say patience is the key. I believe it! Thank you for your encouragement all along the way. Blessings, Dan file://C:\Documents and Settings\jbrettle.GEORGETOWN\Local Settings\Temp\notes97E... 5/31/2011 Page 2 of 5 -----Original Message ----- From: George G. Garver <georgegarver@suddenlink.net> To: Dan Bonner <dancucr@aol.com> Sent: Fri, May 27, 2011 5:39 pm Subject: FW: eNote from Pastor Adam - May 27, 2011 From: The Church of the Resurrection [mailto:info0cor.org] Sent: Friday, May 27, 2011 2:08 PM To: georgegarver@suddenlink.net Subject: eNote from Pastor Adam - May 27, 2011 Greetings. FYI. ggg May 27, 2011 Dear Resurrection Family, Throughout the week our missions team has been in conversation with the coordinator for the United Methodist Church's disaster response team in Joplin looking for ways for our church to be of support and help to the people there. The UMC in Missouri is working with the Red Cross, the Salvation Army and the Convoy of Hope to coordinate donations and teams to help. We sent an e-mail to you yesterday with more detailed information about what you can do this weekend to help. We have an assessment team that will be in Joplin on Monday to work with officials there to map out a plan for deploying teams from Resurrection to help with the clean up efforts. Immediately, we've been asked to supply bottled water for the temporary shelters and for the search, rescue and early response teams and $20 Walmart gift cards to be distributed as needed. Could you purchase a case of bottled water and/or could you purchase a $20 Walmart gift card? If you could bring those to the church today, or this weekend when you come to worship? We will be delivering these on Monday morning. Through June 3rd we'll collect items for personal hygiene kits which will be assembled on June 4th by volunteers. From June 4-10th we'll assemble "joy buckets for children. We're asking you to donate items for these according to the letter of the alphabet your last name begins with. See the bottom of today's e-mail for the information on what you can bring. For more information on how you can give or on signing up to be a part of a disaster response team click on this link, www.cor.orq/tornado. Here's what I'll cover in the rest of today's e-mail: 1......._Th is._._Wee_kend :..._The...... Rea! _Socia_I _Network 2. ConQrats to Pastors Penny Ellwood, Anne Williams and Rob Walters file://C:\Documents and Settings\jbrettle.GEORGETOWN\Local Settings\Temp\notes97E... 5/31/2011 Page 3 of 5 3. Welcome Summer Interns! 4. Memorial Day�_.._Memorial Garden Hours 5.._..President of Sta._rbucks_S.pea._king at Resurrection? 6. This Week: I'm Speaking in Houston and Santa Fe - Please Pray 1. This Weekend: The Real Social Network This weekend we begin a new three-part sermon series you won't want to miss called The Real Social Network. So much of our lives today are spent connecting with people electronically - we txt, we FB, we IM, we Twitter and we e-mail just to name a few. But in this series Pastor Scott Chrostek of our downtown campus will focus our attention on how we develop real community in this digital age and what role the church and our faith play in that. You'll be blessed and encouraged through this terrific sermon series. Click here to see the sermon series promo and to Twitter, Facebook, E-mail or IM it to a friend. 2. Congrats to Pastors Penny Ellwood, Anne Williams and Rob Walters In the United Methodist Church pastors are first commissioned as "provisional elders" and then they are ordained as full elders. They must first complete their Master of Divinity Degree or the Course of Study and have worked through an extensive credentialing process. In two weeks Pastor Rob Walters will be commissioned at the Kansas East Annual Conference. Pastor Anne Williams is being commissioned at the Kansas West Annual Conference. Pastor Penny Ellwood will be ordained a full elder at the Kansas East Annual Conference in two weeks. Congratulations to Rob, Anne and Penny! 3. Welcome Summer Interns! This past Monday, we welcomed 14 very bright and talented college aged students to our staff into our summer internship program. The role of summer internships at Resurrection is to prepare future leaders for the church. During their internships these young people are helped to discern God's call on their lives through mentoring and hands-on ministry experiences at our church. As a church we benefit by having 14 outstanding young people serving to multiply our ministry in a variety of areas. Many of these interns will go on to successful ministry careers in the future, both as clergy and as lay staff and volunteer leaders. I'm excited by what they will be able to do and learn this summer and would ask that you give them a special welcome as you see them out and about the church this summer. 4. Memorial Day, Memorial Garden Hours The Church Offices will be closed on Monday, but the Memorial Garden will be open from 10 am to 3 pm. Please enter through the Church Office door on the south side of the Leawood East Building. If you would like more information about our Memorial Garden and purchasing a niche for the inurnment of ashes or an engraved paver to remember a loved one, call Raelene Herndon at 913- 544-0743. S. President of Starbucks Speaking at Resurrection? Yes, the President of Starbucks will be speaking, via video simulcast, in our Sanctuary as a part of the Willow Creek Summit we'll be hosting once more this year on August 11-12. This event is an opportunity for you to invest in your own leadership by hearing from outstanding leaders, creative thinkers and great practitioners. The cost for most participants is $249. For Resurrection members, because we're a host site, you can register for only $75. These two days are not only for church leaders, but for anyone who wants to be a more effective leader at work, in the community and in daily life. Speakers include Howard Schultz, President of Starbucks, Henry Cloud, Psychologist and best selling author of 9 Things a Leaders Must Do, Cory Booker, Mayor of Newark who has helped turn Newark around, and a host of others. For more information or to register, click on this link. It is going to be a great event and I want to encourage you to be a part of this. If you are a leader at Resurrection, I want to encourage you to make this a priority. 6. This Week: I'm Speaking in Houston and Santa Fe - Please Pray On Monday and Tuesday of this coming week I'll speak in Houston, Texas to the Texas Annual Conference (one of several Texas Annual Conferences). Then on Wednesday and Thursday I'll speak in Glorietta, New Mexico to the New Mexico Annual Conference (which includes portions of west Texas). I'll take a couple of days off in Santa Fe, then it's on to Waco, Texas on Sunday. I'll speak at the Central Texas Annual Conference Sunday night and Monday. From there I'll head back file:X:\Documents and Settings\jbrettle.GEORGETOWN\Local Settings\Temp\notes97E... 5/31/2011 Page 4 of 5 to Kansas City and will attend the Kansas East Annual Conference meeting at Resurrection. Then I'm off to Harrisburg, Pennsylvania to speak to the Susquehanna Annual Conference (the western two thirds of Pennsylvania). From there I'll fly to Sacramento to speak to the California -Nevada Annual Conference and, after taking a couple of days of rest there I'll be heading back home. Last weekend we asked each of you to pray for every pastor, every local churches, the district superintendents and bishops of each conference. I've been praying daily for Rev. Ronald Oden and the Lakeview UMC in Waco, Texas and for Rev. Allyson Paxton and the people of the Midloathian First UMC in Midloathian, Texas. If you did not get a prayer tent with a church to pray for, please pray for me that God will use me to encourage, equip and inspire these churches. Some of these conferences may be broadcast live via the Internet and I'll try to let you know about this as well. As I close, I want to remind you of our vision at Resurrection. It is posted in 20 inch letters on the wall of our Narthex at the Leawood campus: Changing Lives, Transforming Communities, and Renewing Churches. This week and every week we're focused on being used by God to see lives changed at our various campuses. This week you'll be "transforming communities" by bringing help and hope to the people of Joplin, along with the hundreds of other things you do every week in serving in Kansas City and around the world. And you're sending me out to teach, preach and encourage thousands of pastors and church leaders as they seek to renew their churches. I am grateful and proud to be your pastor! Adam Tornado Relief Update Our hearts and prayers go out to the people in the communities destroyed by tornados in the past couple of weeks, particularly our neighbors in Joplin and Sedalia. The Church of the Resurrection is working with Missouri Conference of the United Methodist Church and their partners - the Red Cross, the Salvation Army and Convoy of Hope - to care for and support the people whose lives have been devastated by the destruction. You can offer your support by donating the following items during the times specified. May 28-29: Water and Walmart Gift Cards The most immediate need is for monetary resources and bottled water. This weekend, during worship times, you can bring bottled water and Walmart gift cards in $20 denominations to the church. Look for a truck or van in the parking lots for water collection and for greeters with baskets at each door to drop off your Walmart gift card. You can also contribute cash and our staff will purchase gift cards. These items will be collected through Sunday and delivered on Monday, May 30. May 28 - June 3: Personal Hygiene Packs (Note: Church Offices will be closed Monday, May 30) Drop off the following items at the church, according to your pastorate or campus assignment. Pastorate A-C - 1 fluoride toothpaste (6 oz. or larger) and 1 wash cloth Pastorate D-I - 1 toothbrush in original, unopened pkg. and 1 bath -size bar of soa p Pastorate J-L - 1 deodorant and 1 bottle skin lotion (11-14 oz.) Pastorate M-R - 1 hand towel and 1 bottle shampoo (11-14 oz.) Pastorate S-Z - 2 packaged, disposable shaving razors and 1 comb or brush Rez West, Rez Downtown, Blue Springs and RezLife - boxes of Ziplock 2 or file:X:\Documents and Settings\jbrettle.GEORGETOWN\Local Settings\Temp\notes97E... 5/31/2011 Page 5 of 5 2.5 size gallon baggies. Special FaithWork: June 4 at 9 am in the Leawood Campus Narthex to assemble the packets. June 4 - 10: Joy Buckets for Children Drop off the following items at the church, according to your pastorate or campus assignment. Pastorate A-C - coloring books, box of crayons (24 count) Pastorate D-I - activity or sticker books, box of colored pencils (8 count) Pastorate J-L - packaged fruit snacks or granola bars Pastorate M-R - child -size plastic sand bucket with handle (approx. 12" tall) Pastorate S-Z - child -size plastic sand bucket with handle (approx. 12" tall) Rez West: packaged fruit snacks or granola bars Rez Downtown: packaged fruit snacks or granola bars Blue Springs: coloring books Special FaithWork: June 11 at 9 am at the Resurrection West Activity Center, 23720 W. 83rd Terrace, Shawnee, KS, to assemble the packets. Monetary Donations can be made through the Resurrection website: www.cor.org/tornado. Disaster Relief Trips To learn how you can train to be part of an upcoming disaster relief mission trip, go to our Reach and Restore Ministry web page. Two trainings classes are coming up: Safe and Sacred Training (required for all mission trip participants) Wednesday, June 1, 6:30 - 9:30 pm, Resurrection Blue Springs or Thursday, June 2, 6 - 9 pm, Resurrection West Activity Center Other dates throughout the summer Register online. Emergency Response Training Saturday, June 11, 8:30 am - 4 pm, Leawood Campus Register online. This message was sent to georgegarver _suddenlink.net from: Email Marketing by x iContact -Try It The United Methodist Church of the Resurrection 113720 Roe Ave I Leawood, KS 66224 Free! Manage Your Subscription I Forward _TPA F r.i. end. View this message in the iContact Community: LNiew message ❑Comment on this message ❑Receive as RSS Share this message with others: ❑del_icio.us ❑DjQg ❑reddit ❑Facebook ❑StumbleUpon file://CADocuments and Settings\jbrettle.GEORGETOWN\Local Settings\Temp\notes97E... 5/31/2011 Georgetown Aging Initiative Project Timeline • Determine strategy for assessing strengths & needs of older adults February — April • Identify survey tool & methodology Planning • Meeting to approve strategy for conducting assessment • Outreach to community (Non -profits, Churches, Community Groups) • Inventory of Services • Conduct Focus Groups May — July . Solicit financial sponsors Focus Groups & • Refine survey methodology Fundraising 9 Continue outreach to community • Meet with survey consultant to advise on process August • Identify & secure sites for survey distribution . Recruit & train volunteers Survey Preparation • Public promotion & outreach • Coordinate survey logistics September — October • Distribute survey • Conduct follow-up on process & outreach Survey • Enter data Implementation . Analyze results November — December • . Review survey results Meet with survey consultant to discuss results Review & • Disseminate key results Prioritization • Identify priorities for action 9 Begin development of action plan Georgetown Aging Initiative Project Timeline Feb -April Maly -July August Sept -Oct g p Nov -Dec Planning Focus Groups Survey Survey Review & Preparation Implementation Prioritization iiiiiiiiiiiiiiiiiiiiiillillilililll> • Determine strategy for assessing strengths &needs • Identify survey tool &method • Approve strategy • Conduct community outreach (non- profits, churches & community) • Conduct service inventory • Conduct focus groups • Solicit financial support • Refine survey methodology • Continue community outreach • Meet with survey consultant on process • Identify & secure sites for survey distribution • Recruit & train volunteers • Public promotion & outreach • Coordinate survey logistics • Distribute survey • Follow-up on process & outreach • Enter data • Analyze results • Review survey results • Meet with survey consultant on results • Disseminate key results • Identify priorities for action • Begin development of action plan 48 )WN 1 L1%ClJ Request To Address Council For items not previously posted on the City Council Agenda Due to the City Secretary's Office by noon on the Wednesday prior to the Council Meeting Submit to: City Secretary Email: Jessica.Brettleggeorgetown.org Fax: 512.930.3659 Location: City Hall - 113 E. 8th Street Phone: 512.930.3652 Name: Georgetown Aging Initiative (Dan Bonner) Residence Address: c/o Dan Bonner (Chairperson of GAI Advisory Committee); Wesleyan Homes; P.O. Box 486, Georgetown, TX 78627-0486 Subject of item to be discussed: The Georgetown Aging Initiative (GAI) Advisory Committee is requesting co-sponsorship by the City of Georgetown for a survey and focus groups we shall conduct to identify our city's senior adults' growing needs and assets. Attached are (1) Request for City Sponsorship, (2) Project Timeline, and (3) a working illustration of our Survey Instrument from Sonora, California. Our survey will use this basic format of questions, customized for Georgetown, with some additions which are specific to our community, e.g. questions about Lifetime Learning interests. Presentation of this proposal to the City Council will be made by Dan Bonner, accompanied by other members of the Advisory Committee: Bob Brent, George and Barbara Brightwell, and Ron Swain. Also present to answer questions about the proposed survey and focus groups' methodology will be Family Eldercare of Austin. This respected resourcip team are providing design and logistical support for this study. We are not seeking funds from the city. This effort is funded by area foundation grants and other private gifts. Council Meeting Date at which you wish to speak: June 14, 2011 Signature: Dan Bonner jv-yl� Date Form Submitted: Time Form Submitted: Disclaimer. By submitting this request to address City Council, I agree that I will keep my comments to the subject listed. I will refrain from the use of any obscene, vulgar, or profane language. I understand that if I do not follow this procedure, my speaking time may be terminated and 1 may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. City Council Procedure for Citizen Comment on an Agenda Item: 1. Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council; six minutes if another citizen has signed over their time To Be Completed by City Secretary's Office Date Form Received: Time Form Received: 48 )WN 1 Jul%I ILU Request To Address Council For items not previously posted on the City Council Agenda Due to the City Secretary's Office by noon on the Wednesday prior to the Council Meeting Submit to: City Secretary Email: Jessica.Brettleg-georgetown.org Fax: 512.930.3659 Location: City Hall - 113 E. 8t" Street Phone: 512.930.3652 Name: Georgetown Aging Initiative (Bob Brent) Residence Address: c/o Dan Bonner (Chairperson of GAI Advisory Committee); Wesleyan Homes; P.O. Box 486, Georgetown, TX 78627-0486 Subject of item to be discussed: The Georgetown Aging Initiative (GAI) Advisory Committee is requesting co-sponsorship by the City of Georgetown for a survey and focus groups we shall conduct to identify our city's senior adults' growing needs and assets. Attached are (1) Request for City Sponsorship, (2) Project Timeline, and (3) a working illustration of our Survey Instrument from Sonora, California. Our survey will use this basic format of questions, customized for Georgetown, with some additions which are specific to our community, e.g, questions about Lifetime Learning interests. Presentation of this proposal to the City Council will be made by Dan Bonner, accompanied by other members of the Advisory Committee: Bob Brent, George and Barbara Brightwell, and Ron Swain. Also present to answer questions about the proposed survey and focus groups' methodology will be Family Eldercare of Austin. This respected resource team are providing design and logistical support for this study. We are not seeking funds from the city. This effort is funded by area foundation grants and other private gifts. Council Meeting Date at which yo ish to s eak: June 14, 2011 Signature: Bob Brent Date Form Submitted: Time Form Submitted: Disclaimer: By submitting this request to address City Council, I agree that I will keep my comments to the subject listed. I will refrain from the use of any obscene, vulgar, or profane language. I understak that if I do not follow this procedure, my speaking time may be terminated and I may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. I City Council Procedure for Citizen Comment on an Agenda item: 1. Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council; six minutes if another citizen has signed over their time To Be Completed by City Secretary's Office Date Form Received: Time Form Received: 48 )WN 1 L 11[ iJ Request To Address Council For items not previously posted on the City Council Agenda Due to the City Secretary's Office by noon on the Wednesday prior to the Council Meeting Submit to: City Secretary Email: Jessica.Brettleg eorgetown.org Fax: 512.930.3659 Location: City Hall - 113 E. 8 h Street Phone: 512.930.3652 Name: Georgetown Aging Initiative (Barbara Brightwell) Residence Address: c/o Dan Bonner, Chairperson of GAI Advisory Committee; Wesleyan Homes; P.O. Box 486, Georgetown, TX 78627-0486 Subject of item to be discussed: The Georgetown Aging Initiative (GAI) Advisory Committee is requesting co-sponsorship by the City of Georgetown for a survey and focus groups we shall conduct to identify our city's senior adults' growing needs and assets. Attached are (1) Request for City Sponsorship, (2) Project Timeline, and (3) a working illustration of our Survey Instrument from Sonora, California. Our survey will use this basic format of questions, customized for Georgetown, with some additions which are specific to our community, e.g. questions about Lifetime Learning interests. Presentation of this proposal to the City Council will be made by Dan Bonner, accompanied by other members of the Advisory Committee: Bob Brent, George and Barbara Brightwell, and Ron Swain. Also present to answer questions about the proposed survey and focus groups' methodology will be Family Eldercare of Austin. This respected resource team are providing design and logistical support for this study. We are not seeking funds from the city. This effort is funded by area foundation grants and other private gifts. Council Meeting Date at which you wish to speak: June 14, 2011 Signature: Barbara BrightweW ;117 / ��, . Date Form Submitted: 6 -1-Zo l l Time Form Submitted: Disclaimer. - By submitting this request to address City Council, I agree that I will keep my comments to the subject listed. I will refrain from the use of any obscene, vulgar, or profane language. I understand that if I do not follow this procedure, my speaking time may be terminated and I may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. City Council Procedure for Citizen Comment on an Agenda Item: 1. Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council; six minutes if another citizen has signed over their time To Be Completed by City Secretary's Office Date Form Received: Time Form Received: 48 )WN 1 Ll %J VU Request To Address Council For items not previously posted on the City Council Agenda Due to the City Secretary's Office by noon on the Wednesday prior to the Council Meeting Submit to: City Secretary Email: Jessica.Brettle e,georgetown.org Fax: 512.930.3659 Location: City Hall - 113 E. 8"' Street Phone: 512.930.3652 Name: Georgetown Aging Initiative (George Brightwell) Residence Address: c/o Dan Bonner (Chairperson of GAI Advisory Committee); Wesleyan Homes; P.O. Box 486, Georgetown, TX 78627-0486 Subject of item to be discussed: The Georgetown Aging Initiative (GAI) Advisory Committee is requesting co-sponsorship by the City of Georgetown for a survey and focus groups we shall conduct to identify our city's senior adults' growing needs and assets. Attached are (1) Request for City Sponsorship, (2) Project Timeline, and (3) a working illustration of our Survey Instrument from Sonora, California. Our survey will use this basic format of questions, customized for Georgetown, with some additions which are specific to our community, e.g. questions about Lifetime Learning interests. Presentation of this proposal to the City Council will be made by Dan Bonner, accompanied by other members of the Advisory Committee: Bob Brent, George and Barbara Brightwell, and Ron Swain. Also present to answer questions about the proposed survey and focus groups' methodology will be Family Eldercare of Austin. This respected resource team are providing design and logistical support for this study. We are not seeking funds from the city. This effort is funded by area foundation grants and other private gifts. Council Meeting Date at which you wish to speak: June 14, 2011 Signature: George BrightwQU Date Form Submitted: 6- i -Zo t 1 Time Form Submitted: Disclaimer: By submitting this request to address City Council, 1 agree that I will keep my comments to the subject listed. I will refrain from the use of any obscene, vulgar, or profane language. I understand that if I do not follow this procedure, my speaking time may be terminated and I may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. City Council Procedure for Citizen Comment on an Agenda Item: 1. Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council; six minutes if another citizen has signed over their time To Be Completed by City Secretary's Office Date Form Received: Time Form Received: 48 )WN 1 L.1W LIJ Request To Address Council For items not previously posted on the City Council Agenda Due to the City Secretary's Office by noon on the Wednesday prior to the Council Meeting Submit to: City Secretary Email: Jessica.Brettle&georgetown.org Fax: 512.930.3659 Location: City Hall - 113 E. 8t' Street Phone: 512.930.3652 Name: Georgetown Aging Initiative (Ron Swain) Residence Address: c/o Dan Bonner (Chairperson of GAI Advisory Committee); Wesleyan Homes; P.O. Box 486, Georgetown, TX 78627-0486 Subject of item to be discussed: The Georgetown Aging Initiative (GAI) Advisory Committee is requesting co-sponsorship by the City of Georgetown for a survey and focus groups we shall conduct to identify our city's senior adults' growing needs and assets. Attached are (1) Request for City Sponsorship, (2) Project Timeline, and (3) a working illustration of our Survey Instrument from Sonora, California. Our survey will use this basic format of questions, customized for Georgetown, with some additions which are specific to our community, e.g. questions about Lifetime Learning interests. Presentation of this proposal to the City Council will be made by Dan Bonner, accompanied by other members of the Advisory Committee: Bob Brent, George and Barbara Brightwell, and Ron Swain. Also present to answer questions about the proposed survey and focus groups' methodology will be Family Eldercare of Austin. This respected resource team are providing design and logistical support for this study. We are not seeking funds from the city. This effort is funded by area foundation grants and other private gifts. Council Meeting Date is u wis speak: June 14, 2011 Signature: Ron Swain Date Form Submitted:i Time Form Submitted: Disclaimer: By submitting this request to address City Council, I agree that I will keep my comments to the subject listed. 1 will refrain from the use of any obscene, vulgar, or profane language. I understand that if I do not follow this procedure, my speaking time may be terminated and I may be requested to sit down or be removed from the building. I understand that the City Council meeting is broadcast live and my comments will become part of the official record. City Council Procedure for Citizen Comment on an Agenda Item: 1. Fill out form completely and turn in to the City Secretary prior to discussion of the item 2. Wait for the Mayor to call your name to approach the podium 3. State your name and address clearly into the podium microphone 4. You will have three minutes to address Council; six minutes if another citizen has signed over their time To Be Completed by City Secretary's Office Date Form Received: Time Form Received: '• i AdvantAGE Survey Instrument The attached is a sample survey from Sonora, California that contains the base questions as well as additional service related questions definitive to Sonora (#90-97, 99). An AdvantAGE Initiative survey is organized around 33 indicators that make a community a good place for older people to live. The AdvantAGE Initiative will use the data to build awareness, drive planning, and spur action that will create an elder -friendly community. ADVANTAGE Inftiative Addresses Basic Needs 0 Provides appropriate and afto ,dable housing 0 Promotes safety at home and in the neighborhood Assures no one goes hungry 0 Provides useful information about ayalable see vices Optimizes Physical and Dental Health and Well Being 0 Promotes healthy behaviors 0 Supports community a tivibes that eMance v<eli being 0 Provides ready access to preventive heafh services 0 Provides access to medical, social, wid pafiative services Promotes Social and Civic Engagement Fosters rneariingU connections wth family, ne�hbors, and kends Promotes xve engagement in community file 0 Provides opportunities fv mean mgful paid and voluntwy *wY 0 Makes aging issues a community- de priority Maximizes Independence for Frail and Disabled 0 Wbibzes resmrces to fa; ititate ' doing at home' 0 Pmvides accessible iransportan 0 Supports famitp and ober Caregivers The Georgetown Aging Initiative survey will be customized to reflect Georgetown -specific questions for items 1, 23, 38, 63, 87, and 98. Question 98 indicates a raffle entry. The Georgetown Aging Initiative proposal allows for each participant who completes the survey to receive $10. Our ability to provide this incentive depends on fundraising for the initiative. Sponsors of the survey will be recognized at the end of the survey with a statement such as "This survey was made possible by the following sponsors" or "Incentives courtesy of ABC Sponsors". MMM ADvAN'tAGr. Initiative m,vr vog A mw-- SAwt PLE - SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION The first set of questions is about you. 1. Which county do you live in? ❑ Tuolumne County ❑ Calaveras County ❑ Another county [End interview] Interviewer Note: To end interview: "Thank you for your time. This survey is only for people who live in Tuolumne and Calaveras Counties." 2. How old are you? ❑ 59 years old or younger [End interview] ❑ 60 to 64 years old ❑ 65 to 74 years old ❑ 75 to 84 years old ❑ 85 years old or older Interviewer Note: To end interview: "Thank you for your time. This survey is only for people 60 years of age and older." Th ADVMtAGE Initiative Gnu;wiry Commu.ntiries.hbi-an Aj,r g Sac:ery Page 2 SONORA SURVEY (4/14111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION A few more questions about you. 3. Are you male or female? [Ask if necessary] ❑ Male ❑ Female 4. How many years have you lived in your community? ❑ Less than 10 years ❑ 10 to 19 years ❑ 20-29 years ❑ 30-39 years ❑ 40-49 years ❑ 50 years or more 5. Do you live alone or do you live with others? ❑ Live alone [Go to Question 7] ❑ Live with others 6. Who lives in your household with you? Check all that apply. ❑ Your spouse or partner ❑ Your parent ❑ Your child ❑ A brother or sister ❑ A grandchild or a great grandchild ❑ Relatives other than those mentioned ❑ Friends ❑ Someone else The AQVAI�TAGE- I..nitiatie ..._ _ ... . tmFlo&V Communities hbrrart r1yiny^ Sodery Page 3 SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 7. How many living children do you have? ❑ None [Go to Question 10] ❑ One ❑ Two ❑ Th ree ❑ Four or more 8/9. How far away is your nearest child? ❑ Lives with child [DO NOT READ THIS OPTION. Select only if Question 6 is marked "Your child"] ❑ Less than 20 minutes away ❑ Between 20 and 60 minutes away ❑ Between 1 and 2 hours away ❑ More than two hours away 10. How far away does your nearest friend live? ❑ Less than 20 minutes away ❑ Between 20 and 60 minutes away ❑ Between 1 and 2 hours away ❑ More than two hours away ADVANTAGE a. _:. Initiative (MPI ..AN Cammu nr in bran AgOg Sail-ery Page 4 SONORA SURVEY (4194I9 9): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION The next few questions are about your regular activities. 11. How often does a neighbor, friend, or family member contact you either in person, by phone, or by email? ❑ Every day ❑ A few times a week ❑ Once a week ❑ A few times a month ❑ Monthly ❑ A few times a year ❑ Once a year or less frequently 12. How often do you and your neighbors do favors or chores for each other? ❑ Often ❑ Occasionally ❑ Never 13. Do you do any volunteer work, that is spend your time helping without being paid for it? ❑ Yes ❑ No [Go to Question 15] 14. What type of volunteer work do you do? Check all that apply. ❑ Services for seniors ❑ Friendly visiting ❑ Hospital or nursing home ❑ Teaching, tutoring or mentoring ❑ Religious group ❑ Museum or cultural institution ❑ Library ❑ Repair work or carpentry ❑ Fundraising ❑ Driver/delivery service ❑ Work with children ❑ Other ADVANtAGE""" C.::•P" "]:::• Initiative tm�: j�iey �emrnu.n;rie<_ faror, Ag�egSe�_Cy Page 5 SONORA SURVEY (4114111): Do NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 15. During the past week, did you ...? Check all that apply. ❑ Go to a movie, play, concert, restaurant, sporting event, club meeting, card game, or other social activity ❑ Go to church, temple, or another place of worship for services or other activities ❑ Get together with friends or neighbors in any other setting ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. 16. Regarding your present social activities, do you feel that you are doing...? ❑ Too much ❑ About enough, or ❑ Would like to be doing more We're interested in your opinions about your housing and your neighborhood in general. 17. Do you agree or disagree with the statement: in my current residence for as long as possible." ❑ Strongly agree ❑ Somewhat agree ❑ Disagree ❑ Strongly disagree "What I'd really like to do is stay 18. How confident are you that you will be able to afford to live in your current residence for as long as you would like? ❑ Very confident ❑ Somewhat confident ❑ Not too confident ❑ Not confident at all AwAWAGE- lInitiative.............................................. tnprsdoy ;ommu Oies toron Agog Society Page 6 SONORA SURVEY (4/14/11): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 19. Does your current residence need any major repairs or changes to improve your ability to live there over the next five years? ❑ Yes ❑ No [Go to Question 23] 20. Check all of the repairs or changes that you need. ❑ Better cooling in the summer ❑ Better heating in the winter ❑ Accommodations for easier access into or within your home such as a ramp, chairlift, or elevator ❑ Bathroom modifications such as grab bars, handrails, high toilet, or non -slip tile ❑ Fix problems with insects or rodents ❑ Structural changes or major repairs such as a new roof or new plumbing ❑ Cosmetic or minor repairs such as painting or floor refinishing ❑ Install a medical emergency response system that notifies others in case of an emergency ❑ Better maintenance in my apartment building such as improved intercoms, elevators, security, or safety ❑ Other 21. Are you planning to make some or all of the changes or ask your landlord to make the changes over the next five years? ❑ Yes [Go to Question 23] ❑ No 22. What is the major reason for not planning to make these changes? Choose one. ❑ Can't afford it ❑ Unable to do it yourself ❑ Can't find a contractor or workers to do it ❑ Don't trust anyone to do it ❑ Not sure will still be residence ❑ Landlord will not allow or will not make the repairs or changes ❑ Other ADvANtAGE- Initiative— (rnpftMPq Co wrun;t es haro Agir y^ Sod- ty Page 7 SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 23. Which one of these types of housing best describes where you currently live? Choose one. ❑ A one family house ❑ Two family house ❑ Senior mobile home park ❑ Apartment or condominium ❑ Senior housing ❑ Assisted living residence ❑ Other 24. Do you own or rent your home? ❑ Own ❑ Rent 25. If you think your living situation will change in the future, how is it most likely to change? Choose one. ❑ Move into a home share living situation ❑ Move into an apartment building with an elevator ❑ Move into a smaller or larger home ❑ Move into a home that is easy for people with a disability to navigate ❑ Move closer to family or friends ❑ Move into a home in better climate ❑ Move into a retirement community ❑ Move into senior housing ❑ Move in with family or friends ❑ Move into a home that is less expensive ❑ 1 don't think my living situation will change 26. Would you say that personal safety in your neighborhood is ...? ❑ Excellent ❑ Very good ❑ Good ❑ Fair ❑ Poor DVA►NTAGf ..z= Initiative (MprV&q Comm. anNei furor, Aq,q Society Page 8 SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 27. Here is a list of problems that occur in some neighborhoods. Please indicate whether you think each item is a problem in your neighborhood. Check all that apply. ❑ Heavy traffic ❑ Crime ❑ Too far away from parks and recreation ❑ Noise ❑ Streets and sidewalks need repair or don't exist ❑ Streets are too dark ❑ Rundown or abandoned buildings, houses or apartments ❑ Poor public services such as schools, garbage or snow removal ❑ Public transportation too far away, too limited, or not available ❑ Traffic lights are too few or too fast ❑ Too far away from shopping, banks, or other needed services ❑ Not enough arts or cultural activities ❑ Not enough affordable housing ❑ People don't get involved in efforts to improve the community ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. 28. In the last six months, did you ever cut the size of your meals or skip meals because there wasn't enough money for food? ❑ Yes ❑ No 29. Are there convenient places in your neighborhood for you to buy fresh fruits and vegetables? ❑ Yes ❑ No 30. How often do you eat five servings of fruits and vegetables? ❑ Every day ❑ Few times a week ❑ Once a week ❑ Less often than once a week ❑ Never 31. Overall, how satisfied are you with your neighborhood as a place to live? ❑ Very satisfied ❑ Somewhat satisfied ❑ Somewhat dissatisfied ❑ Very dissatisfied The ADVANtAGE- Initiative Ir.7Fr�nry Cammu,%Wes for or; fh909 Sodey Page 9 SONORA SURVEY (4/94/91): DO NOT DUPLICATE, DISTRIBUTE DR CITE WITHOUT PERMISSION 32. In the last three years have you personally done any of the following things? Check all that apply. ❑ Voted in local elections ❑ Contacted your elected representative ❑ Notified the police or other government agency about a problem ❑ Made a donation of money or goods to charity ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. 33. How much influence do you think people like yourself can have in making this neighborhood a better place to live? ❑ A lot ❑ Some ❑ Not very much ❑ None 34. To what extent do you think that officials in your city or town council or county government, take into account the interests and concerns of residents in your neighborhood? ❑ Quite a lot ❑ Somewhat ❑ Not very much ❑ Not at all 35. In general, do you agree or disagree with the statement: "Most people in this neighborhood are basically honest and can be trusted." ❑ Strongly agree ❑ Agree ❑ Disagree ❑ Strongly disagree 36. In general, do you agree or disagree with the statement: "If I have a problem there is always someone to help me in this neighborhood." ❑ Strongly agree ❑ Ag ree ❑ Disagree ❑ Strongly disagree ADVANtAGE- Initiative fr"Plnny .omr.+u•iXe<_ ((bran Ag;r. g Society Page 10 SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 37. In general, do you agree or disagree with the statement: "Most people in this neighborhood are willing to help if you need it." ❑ Strongly agree ❑ Ag ree ❑ Disagree ❑ Strongly disagree The next few questions are about your health and health care experiences. 38. What is the Primary health care insurance you use to pay for your doctor and hospital expenses? Choose one. ❑ Medicare ❑ Medicare Advantage ❑ Medi-Cal ❑ Employer or union ❑ Self or spouse -funded policy ❑ Military (Veteran's Administration) ❑ Other ❑ None ❑ Don't know 39. What kind of place do you go to most often when you are sick or need advice about your health? Choose one. ❑ Clinic or health center ❑ Doctor's office ❑ Hospital emergency room ❑ Hospital outpatient department ❑ Veteran's administration facility ❑ 1 don't have a regular place to go for my health care ADVANtAGE7 Initiative fr^prjviry Communities for on Ayiny Sadiny Page 11 SONORA SURVEY (4194111): D® NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION Interviewer Note: ask MALES only 40. MALES ONLY: In the past 12 months, have you had any of the following preventive health measures or tests? Check all that apply. ❑ A complete physical exam ❑ Blood pressure checked by a doctor, nurse, or other health professional ❑ A hearing test ❑ An eye exam ❑ A flu shot ❑ Bone density screening to see if you are at risk for osteoporosis or brittle bones ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. Interviewer note: ask FEMALES only 41. In the past 12 months, have you had any of the following preventive health measures or tests? Check all that apply. ❑ A complete physical exam ❑ Blood pressure checked by a doctor, nurse, or other health professional ❑ A hearing test ❑ An eye exam ❑ A flu shot ❑ Bone density screening to see if you are at risk for osteoporosis or brittle bones ❑ A mammogram to detect breast cancer ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. 42. Have you ever had a pneumonia shot? ❑ Yes ❑ No ❑ Don't know 43. When was the last time you had a colonoscopy? A colonoscopy is an exam to check for signs of cancer or other health problems in the colon. ❑ Within the past 10 years ❑ More than 10 years ago ❑ Never ❑ Don't know The ADvAiytAGE- Initiative ........................._..._............__....... rm� r�ry Commim e5 forcn Ag;t g Society Page 12 SONORA SURVEY (4194199): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 44. In the past five years, has a doctor told you that you have, or have you experienced any of the following health problems or conditions? Check all that apply. ❑ Arth ritis ❑ Breathing problems such as emphysema or Chronic Obstructive Pulmonary Disease (COPD) ❑ Cancer ❑ Chronic pain ❑ Diabetes ❑ Eye disease ❑ Heart attack or other heart disease ❑ HIV/AIDS ❑ Hypertension or high blood pressure ❑ Memory loss ❑ Multiple Sclerosis ❑ Osteoporosis or brittle bones ❑ Overweight or obese ❑ Parkinson's disease ❑ Stroke ❑ Thyroid disease ❑ Urinary incontinence ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. 45. Would you say that, in general, your health is...? ❑ Excellent ❑ Very good ❑ Good ❑ Fair ❑ Poor ❑ Very poor 46. In the past year, was there a time when you thought you needed the help of a counselor or a health professional because you felt depressed or anxious? ❑ Yes ❑ No [Go to Question 48] 47. Did you obtain the counseling or professional help you thought you needed? ❑ Yes ❑ No ADvANtAGE- Initiative fm�conyCammunNes(or anAg,rng5,, e� Page 13 SONORA SURVEY (4/94111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION The next questions are about physical activities (exercise, sports, physically active hobbies) that you may do in your leisure time. 48. How often do you do vigorous activities for at least 20 minutes that cause heavy sweating or large increases in breathing or heart rate? Examples may include fast walking, fast bicycling, jogging, strenuous swimming or sports play, vigorous aerobic dance, and strenuous gardening. ❑ Never ❑ One to two times per week ❑ Three or more times per week 49. How often do you do light or moderate activities for at least 30 minutes that cause only light sweating or slight to moderate increases in breathing or heart rate? Examples may include such activities as leisurely walking or bicycling, slow swimming or sports play, light or moderate aerobic dance, and light or moderate gardening. ❑ Never ❑ Less than twice per week ❑ Two to four times per week ❑ Five or more times per week ADvANtAGE- Initiative fnv'Tiny Cenmvnities tar or A j;ny^ SeCltty Page 14 0 0 SONORA SURVEY (4/94/11): DO NOT DUPLICATE, DISTRIBUTE OR CITE fo iTHOUT PERMISSION The next set of questions are about services and programs that may be available in your community. Here is a list of various services that are available in some cities, towns, or counties. Please indicate whether each service is available in your area. You can say "Yes," "No," or "Don't know." 50. Senior Center ❑ Yes ❑ No ❑ Don't know 51. Chore or homemakers services like when someone comes to your home to do light housekeeping or cleaning ❑ Yes ❑ No ❑ Don't know 52. Congregate meals such as senior lunch programs ❑ Yes ❑ No ❑ Don't know 53. Meals -on -wheels or home delivered meals ❑ Yes ❑ No ❑ Don't know 54. A service that helps with home repairs and/or home modification for safety andindependence ❑ Yes ❑ No ❑ Don't know 55. Visiting nurse such as an RN who provides health care services in people's homes ❑ Yes ❑ No ❑ Don't know ADV The ANtAGE- Initiative 61-.5" 9 Com-aun;f e= kran AgOg Sachsfy Page 15 SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 56. Home health aide, personal care attendant, or other assistant who helps with personal needs ❑ Yes ❑ No ❑ Don't know 57. Respite services which help caregivers get a break from caregiving duties ❑ Yes ❑ No ❑ Don't know 58. End of life or hospice care to relieve symptoms of terminal illness ❑ Yes ❑ No ❑ Don't know 59. Special transportation service like one for seniors or persons with disabilities ❑ Yes ❑ No ❑ Don't know 60. Outdoor maintenance such as lawn work or snow removal ❑ Yes ❑ No ❑ Don't know 61. Free legal services ❑ Yes ❑ No ❑ Don't know 62. Area Agency on Aging, or Department of Aging ❑ Yes ❑ No ❑ Don't know Th- .:e:_: ADVANtAGE- Inifiative (0p;,nfy CO.?N71un;rk- toror. Aq;ry Sockry Page 16 SONORA SURVEY (4114111): Da NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 63. What is the best resource, such as a person or an organization, in your city, town, or county to get information on services like those we just mentioned? Choose one. ❑ Family members or friends ❑ Doctor or other health professional ❑ Area Agency on Aging, or Department of Aging ❑ Senior Center ❑ Senior Services Agency, such as Catholic Charities ❑ Internet or World Wide Web ❑ Information service such as 211 or 311 ❑ Phone book ❑ Church or synagogue ❑ Don't know 64. For your usual trips around here, for shopping, visiting, or other purposes, what is the means of transportation that you use most frequently? Choose one. ❑ Drive a car ❑ Ride in a car ❑ Take a taxi ❑ Use public transportation [Mark Question 65 as "Yes." Go to Question 66.] ❑ Use a special transportation service, like one for seniors or for persons with disabilities ❑ Walk 65. Do you use public transportation? [Read the answer choices] ❑ Yes ❑ No ❑ No, public transportation is not available 66. Are you able to get transportation to the places you need to go? ❑ Always ❑ Sometimes ❑ Never ADVANM4-�"': Initiative __......... _..._._..:.............. W,7)x:vi ^y Camm. in; rhes for an A jir. y Sodefy Page 17 i 1. . F SON®RA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION The next set of questions are about some common activities of everyday life. 67. Do you have any problems or need help with...? Check all that apply. ❑ Taking a bath or a shower ❑ Dressing ❑ Eating ❑ Getting in and out of bed or a chair ❑ Using or getting to a toilet ❑ Getting around inside the home ❑ None of these [Go to Question 69] Interviewer Note: Do not check "None of these" along with another response option. 68. Are you getting the help you need with all of the activities you selected? ❑ Yes ❑ No 69. Do you have any problems or need help with...? Check all that apply. ❑ Going outside the home to shop or visit a doctor's office ❑ Doing light housework such as washing dishes or sweeping the floor ❑ Preparing meals ❑ Driving a car or using public transportation ❑ Taking the right amount of prescribed medication at the right time ❑ Keeping track of money and bills ❑ None of these [Go to Question 71] Interviewer Note: Do not check "None of these" along with another response option. 70. Are you getting the help you need with all of the activities you selected? ❑ Yes ❑ No ADVANTAGE Initiative fr^prvn^y Camrmm;fiei baron Ag,ogSodte= y Page 18 SONORA SURVEY (4114111): ®O NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 71. If you use a mobility device, which do you use most often? Choose one. ❑ Walker ❑ Cane ❑ Wheelchair ❑ Scooter/power chair ❑ Crutches ❑ 1 don't use a mobility device 72. Do you currently provide help or care, or arrange for help or care, to a relative or friend because they are unable to do some things for themselves due to illness or disability? ❑ Yes ❑ No [Go to Question 77] 73. What is this person's relationship to you? If you provide help or care to more than one person, which one do you give the most help to? ❑ Spouse/partner ❑ Parent or in-law ❑ Child ❑ Grandchild ❑ Another relative ❑ Non -relative friend ❑ Other 74. In total, how long have you been caring for this person? ❑ Less than 1 year ❑ 1 to 3 years ❑ More than 3 years 75. On average how many hours per week are you caring for this person? ❑ 1 to 3 hours ❑ 4 to 10 hours ❑ More than 10 hours 76. Do you sometimes get relief or time off from this responsibility? ❑ Yes ❑ No The , ADvA AGE Initiative tropr-,A-q Commun;66 bron Aging^ Sormny Page 19 SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION Now let's finish up with a few more questions about you. 77. What is your current employment status? ❑ Working full-time [Go to Question 79] ❑ Working part-time [Go to Question 79] ❑ Not working 78. Would you like to be working for pay? ❑ Yes ❑ No 79. We realize income is a private matter and so rather than ask you anything specific about your income, please name the letter that most closely matches your household's income before taxes in 2010. Interviewer Note: Hand the card to the interviewee and ask him/her to name the letter that most closely matches his/her household income before taxes in 2010. ❑ A. Less than $10,000 ❑ B. $10,000 to less than $20,000 ❑ C. $20,000 to less than $35,000 ❑ D. $35,000 to less than $50,000 ❑ E. $50,000 to less than $60,000 ❑ F. $60,000 to less than $75,000 ❑ G. $75,000 to less than $100,000 ❑ H. $100,000 or more 80. Were there any times in the past 12 months, when you did not have enough money to ...? Check all that apply. ❑ Pay your rent, mortgage, or real estate taxes ❑ Pay your utility bills ❑ Fill a prescription for medicine ❑ Follow up on tests or treatment recommended by a doctor ❑ Obtain dental care (including check-ups) ❑ Obtain eyeglasses ❑ Obtain a hearing aid ❑ Pay for transportation ❑ Pay for food ❑ None of these Interviewer Note: Do not check "None of these" along with another response option. AwmfAG F_' Initiative G>���dryCcmmu�is,'ei f�rUnAqury Saci�ty Page 20 SONORA SURVEY (4/94/11): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 81. Are you of Hispanic or Latino background, such as Mexican, Puerto Rican, Cuban, or some other Latin American background? ❑ Yes ❑ No 82. What is your race? Choose one. ❑ White ❑ Black or African -American ❑ Asian ❑ Native Hawaiian or Other Pacific Islander ❑ American Indian or Alaska Native ❑ Other 83. What is your marital status? Choose one. ❑ Now married ❑ Not married, living with partner ❑ Widowed ❑ Divorced ❑ Separated ❑ Never married 84. What is the highest level of education you've completed? ❑ Less than high school completed ❑ High school graduate or GED ❑ Some college/in college ❑ Associate degree ❑ College graduate ❑ Graduate study/in graduate school ❑ Graduate degree ADvANtAGEw Initiative ............_.._........_........................................ (rnpavi gCommunXesfarnnAg;t)gSouety Page 21 SONORA SURVEY (419411 i): DO NOT DUPLICATE, DISTRIBUTE OR CITE W' iTHOUTPERMSSION 85. If you use the Internet, or send and receive email, where are you most likely to do so? Choose one. ❑ At home ❑ At work ❑ At a library ❑ At a senior center ❑ At a family or friend's home ❑ Someplace else ❑ 1 don't generally use the Internet or email [Go to Question 87] 86. Do you do any of the following activities when you use the Internet? Check all that apply. ❑ Send and receive email ❑ Use an online search engine to help find information ❑ Perform online banking or other financial services ❑ Seek information on community events, news, or schedules ❑ Make travel reservations ❑ Buy a product online ❑ Use a social networking site like Facebook or Twitter ❑ Participate in an online discussion ❑ Other 87. Please indicate how you took this survey. ❑ On my computer at home ❑ On my computer at work ❑ On a computer at a library ❑ On a computer at a senior center ❑ On my friend's or relative's computer ❑ With a helper on their laptop ❑ 1 or an interviewer filled in a paper version of the survey ❑ Other (specify) 88. What is the main reason you decided to take this survey? ❑ To enter the raffle contest ❑ To make a contribution to my community ❑ To express my opinions ❑ My friend or family member suggested I take the survey ❑ I was curious to see the survey questions ❑ Other (specify) The AwAWAGE- Initiative Ir^p:-,,10y Communities faror, Aging;oCety Page 22 SONORA SURVEY (4/94I99): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 89. If you were the leader of this community, what changes would you want to make to improve conditions for older persons living here? Interviewer Note: quote or paraphrase the interviewee's answer using the lines provided. We now have only a few more questions to ask you. 90. Door-thru-Door is a new transportation program for older ults. If needed, drivers will help riders entering and exiting their homes anpflestinations. Drivers can also provide personal support such as helping rider put on their coats and shoes, or putting away groceries. In the next five years, do you see yourself usin oor-thru-Door services? ❑ Yes ❑ No ❑ Don't know 91. Do you have relatives or frien who would be willing and able to help you if you were sick or disabled over long period of time? ❑ Yes ❑ No ❑ Don't know 92. Are you awap1hat the Mother Lode Office of Catholic Charities provides in - home mental alth counseling services? ❑ Yes ❑ N Q---71 �-- ADvANtAGE- Initiative. tmp+<:�ng Ccmrraunities f�ron A�gir+y^ Sc�risty Page 23 J4 '� + SONOlRA SURVEY (4114111). DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION 93. Are you aware of the Home Share Program sponsored by the Mother Lode Office of Catholic Charities? ❑ Yes ❑ No [Go to Question 95] 94. Which aspect of the Home Share Program is most appealing to yA? Choose one. ❑ Companionship ❑ Safety of having another person in my home ❑ Help with grocery shopping or meal preparation ❑ Help with transportation ❑ Help with light housekeeping ❑ Sharing housing expenses ❑ 1 am not interested in the Home Share Program 95. How often do you visit your local senior ce er? ❑ 3 or more times per week [Go to Questi 97] ❑ 1 or 2 times per week [Go to Questio 7] ❑ Once a month [Go to Question 97] ❑ Less often than once a month ❑ Never 96. Do you see yourself visiting a senior center if you... (Choose one). ❑ Have transportation getti to and from the senior center ❑ Have a friend to go wit ❑ Know people at the s for center ❑ See activities that i Brest you at the senior center ❑ I am not interest in visiting the senior center 97. Which is the a activity or program you would like to see added to the senior center? Choos one. ❑ Fitness asses ❑ Swi ing pool ❑ W ing program ❑ I oor work out area ❑ utdoor sports activities Computer lab ❑ Arts and crafts ❑ Quilting or sewing classes ❑ Gardening activities ❑ Trips F1 I ihrnry nr reading room ADVANtAG-E"'..: - Initiative fr K-eAng Crmm. 0ei faron Aging Yoc., ty Page 24 'V�I Y SONORA SURVEY (4114111): DO NOT DUPLICATE, DISTRIBUTE OR CITE WITHOUT PERMISSION Raffle Entry 98. In appreciation for your responses, we offer a chance for five people in each county to win a $100 cash prize. To be eligible, you must provide your name, mailing address, telephone number, and email address (if available). To protect confidentiality, your name will not be associated with your responses to this survey. Prizes courtesy of the ❑ First Name: ❑ Last Name: ❑ Street: ❑ City: ❑ State: ❑ Zip code: ❑ Telephone: ❑ Email: 99. Would you like to receive informati ut programs and events from the Mother Lode Office of Catholic i? es ❑ Yes ❑ No Thank you for completing the Senior Snapshot Survey for Tuolumne and Calaveras Counties. If you would like more information ab a Mother Lode Office of Catholic Charities please contact: San ena at (209) 532-7632, or visit http://www.ccstockton. ADvANtAGE" Initiative ff:p;oviny Com17!un�'ie5 foron /I��irl.� SoC'ety Page 25