Questionnaire

GENERAL SELF-ASSESSMENT QUESTIONNAIRE: 

FACTS TO CONSIDER BEFORE TAKING STEPS TO HOME SHARE:  

(The following questionnaire is for both home providers and home seekers)  

Grateful acknowledgement: from the Starter Kit.

The image of two older women enjoying conversation on a porch perfectly captures the joy, connection, and support that home sharing can offer to those looking to age in place with dignity and comfort. 

Please consider the following before you decide anything.  

1. What is important to me in a home-sharing arrangement?  

2. How do I feel living with someone?

3. Am I comfortable expressing my needs and speaking up when something is bothering me?

4. What am I most concerned about?

5. How will I handle disagreements? 

6. What interests and activities would I like to share with my housemate?

7. How important is companionship to me?  

8. How comfortable am I with sharing common areas such as the kitchen and living room?   What if there is only one bathroom?  

9. How important is it for me to know that my family, friends and loved ones support me in my decision to live in a home sharing arrangement?

10. How important is it for me to be able to create a sustainable and affordable housing option?  

Adapted from Burlington Age-Friendly Seniors Council (BAFSC)  

 and Community Development Halton (CDH)