/ The Corporation of the Township of Terrace Bay
2017 Supportive/Independent Living Housing Survey

The Township of Terrace Bay, in partnership with CGV Developments Inc. and Harriman & Associates, are in the planning stages of developing a supportive/independent living housing project inthe Terrace Bay community—this is by no means a social or subsidized housing project.

As part of this process, a Needs and Demand Study has been commissioned to be carried out by ARC Management and Harriman & Associates. This survey will play an important role in helping to identify the needs of the local community and those parties interested from neighbouring communities.The survey will take approximately 10 minutes of your time. Yours answers will remain anonymous and strictly confidential. Allsurveys will be destroyed once the information is tabulated and responses included in aggregate form within the final report.

While the definitions for supportive housing can be very broad, the Township of Terrace Bayrecognizes supportive/independent living housing as housing thathelps individuals in their daily living by combining a physical environment designed to behome-like with support services such as meals, housekeeping, and social and recreational activities. This environment also provides the opportunity for individuals,who may not necessarily need those services at present, to still live independently and have access to those services when needed.

Please complete and return the survey by October 16, 2017, to the following locations:

Terrace Bay Community CentreJ.E. Stokes Medical Centre
1 Selkirk Avenue, P.O. Box 40415 Scotia Street
Terrace Bay, OntarioSchreiber, Ontario

For questions or additional assistance, please contact us at:

Email: one: 807-825-3315 x239

If you know of individuals that did not receive a copy of the survey, please direct them to to print a copy of the survey or to complete one online.

Please complete this survey only if you or someone you know has need of supportive/independent living housing in Terrace Bay. Thank you.

  1. In what city/town does the individual(s) currently reside?Please check all options that are relevant.

 Terrace Bay /  Schreiber /  Jackfish / Rossport /  Pays Plat
 Other: ______
  1. How many bedrooms would the individual(s) in need of this housing require?

One / Two
  1. How many individuals would be living in the unit?

One / Two /  Other: ______
  1. What is the age of the individual(s)?Please check all options that are relevant.

Under 25 / 25 to 34 / 35 to 54 / 55 to 64 / 65 to 74 / 75 to 85 / Over 85
  1. Please check all the following statements that apply to said individual(s).

I own a vehicle
I don’t have anyone to take me to appointments (e.g. doctor, physio, etc.) and run errands; groceries
I use public transportation to travel in town (e.g. Red Cross Medical Van, etc.)
I use public transportation to travel out of town (e.g. Greyhound bus, train, etc.)
I require transportation that will accommodate my disability (e.g. wheelchair, etc.)
  1. Please check all the amenities said individual(s) would like to see in the building/unit.

 Laundry facility in unit /  Common area to socialize
 Storage unit /  Personal support worker
 Food services /  Organized recreational services
 Parking access /  Communal kitchen access
 Kitchen facility in unit /  Light housekeeping
 Other (specify): ______/  Other (specify): ______
 Other (specify): ______/  Other (specify): ______
  1. Please rank the priority of the amenities said individual(s) would like to see in the building/unit, with “1” being most important, then “2” being next most and so on.

_____ Laundry facility in unit / _____ Common area to socialize
_____ Storage unit / _____ Personal support worker
_____ Food services / _____ Organized recreational services
_____ Parking access / _____ Communal kitchen access
_____ Kitchen facility in unit / _____ Light housekeeping
_____ Other (specify): ______/ _____ Other (specify): ______
_____ Other (specify): ______/ _____ Other (specify): ______
  1. What is the said individual(s) annual gross income?

Under $15,000 / $15,000 to $30,000 / $30,000 to $45,000 / $45,000 to $60,000 / $60,000 to $75,000 / Over $75,000
  1. How much would said individual(s) be willing to pay for the unitrental per month?

$______
  1. How much would said individual(s) be willing to pay for additional services, such as light housekeeping, food services, etc., per month?

$ ______
  1. When would the individual(s) anticipate moving into a unit?Please check all options that are relevant.

Immediately, upon unit completion / 1 to 2 years / 3 to 5 years / 5+ years

The Township of Terrace Bay and the Supportive Housing Committee would like to thank you for taking the time to complete this survey. Your input will be invaluable in helping shape Terrace Bay’s Supportive Housing Project moving forward.

If you want to stay up-to-date on the ongoing status of the project, please visit