Full Research Findings July 2015 SURVEY OVERVIEW Methodology

Full Research Findings July 2015 SURVEY OVERVIEW Methodology

Full Research Findings July 2015 SURVEY OVERVIEW Methodology Penn Schoen Berland conducted 1,650 telephone interviews between March 27, 2015 and May 4, 2015 The survey was conducted among the following audiences , but this report does not include the oversamples markets (Denver and Cincinnati): Definition Sample Margin of Audience Size Error General Population Samples National 60+ 2015 U.S. adults 60 and older from 2015 study 1,000 +/- 3.1% National 60+ 2014 U.S. adults 60 and older from 2014 study 1,000 +/- 3.1% National 60+ 2013 U.S. adults 60 and older from 2013 study 1,007 +/- 3.1% National 60+ 2012 U.S. adults 60 and older from 2012 study 1,004 +/- 3.09%

250 +/- 6.2% 250 +/- 6.2% 150 +/- 8% Oversampled Audiences Denver 2015 Older Adults Cincinnati 2015 Older Adults U.S. adults 60 and older living in Denver from 2015 study U.S. adults 60 and older living in Cincinnati from 2015 study Influencer On Aging Audiences Overall n4a Members (50), Credit Union Managers (50), Primary Care Physicians (25) and Pharmacists (25) Note: Waves for prior years were conducted as follows: 2014: Between April 3, 2014 and May 6, 2014 2013: Between April 4, 2013 and May 3, 2013 2012: Between May 10, 2012 and June 6, 2012 3 Methodology Please note: Quotas were implemented on the national Older Adults sample to ensure a representative demographic sample based on U.S. Census Bureau data, including: Geography Age Income Gender Race

All numbers in this report are percentages unless otherwise noted Due to rounding, some of the total percentages do not add up to 100 4 DETAILED FINDINGS ATTITUDE & PURPOSE Overall, Older Adults and Influencers are very likely to agree that their communities offer Older Adults a good quality of life Influencers are more likely to feel this way, as more than 9 in 10 xxxx say they agree, versus about 4 in 5 Older Adults Please tell me how much you agree with the following statement: My community offers Older Adults a good quality of life. Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree 79 % 60+ ... -6% -10% Influen...-2%-5% 33% 46% 39% 53% 92 % *Not showing dont know Q7 (For 60+ 2015, Influencers 2015). Please tell me how much you agree with the following statement: My community offers Older Adults a good quality of life.

7 Compared to previous years, Older Adults in 2015 are less likely to expect their quality of life to improve in the next five to 10 years More xxxx expect their quality of life to stay about the same than in 2014 and 2013 Expectations for Quality of Life 16% Much / Somewh at Better Stay About The Same Much / Somewh at Worse 28% 22% 21% 60% 60+ 2015 21% 30% 24% 22% 49% 51% 45% 60+ 2014 60+ 2013 60+ 2012 *Not showing dont know Q8 (For 60+ 2015). When thinking about the next five to 10 years, do you expect your overall quality of life to get much better, somewhat better, stay about the same, get somewhat worse or get much worse?

Q7 (For 60+ 2014). When thinking about the next five to 10 years, do you expect your overall quality of life to get much better, somewhat better, stay about the same, get somewhat worse or get much worse? Q5 (For 60+ 2013). When thinking about the next five to 10 years, do you expect your overall quality of life to get much better, somewhat better, stay about the same, get somewhat worse or get much worse? Q6 (For 60+ 2012). When thinking about the next five to 10 years, do you expect your overall quality of life (including your financial well-being, mental and physical health, recreation and leisure time, and family situation) to get much better, somewhat better, stay about the same, get somewhat worse or get 8 Older Adults are much more confident in their preparation for the process of aging than Influencers Nearly 9 in 10 Older Adults say they are prepared for the process of aging, versus about three-quarters of Influencers Older Adults Preparedness for Aging Not Very/Not At All Prepared Somewhat Prepared Very Prepared 86 % 60+ ... -12% Influencers ... -22% 42% 10% 44% 67% 77 % *Not showing dont know Q9 (For 60+ 2015). In general, how prepared do you feel for the process of aging? Q8 (For Influencers 2015). In general, how prepared are Older Adults in your community for the process of aging? 9 While satisfaction is high overall across both groups, Older Adults are less satisfied with their finances and physical health Total

Satisfied: Influencers share Older Adults concerns about physical health and are more concerned about Older Adults financial situation; Influencers have concerns about housing and mental wellbeing as well; satisfaction is higher among Older Adults overall Overall Satisfaction for Older Adults (Ranked by Older Adults Satisfied) 60+ 2015 Influencers 2015 97% 95% 95% 86% 84% 66% 92% 69% 17% 40% 71% 26% Your 3% mental wellbeing; 0% 78% 17% 2% 3% Very satisfied Not at all satisfied 41% 73% 22% 4% 1% Somewhat satisfied 18%

43% 9% 4% 10% 7% 67% 21% 11% 39% 49% 46% 82% 51% 56% 61% 53% 26% Not very satisfied 7% 24% 2% 2% Very satisfied 5% Somewhat satisfied 25% 16% 2% 7% Not very satisfied Not at all satisfied *Not showing dont know

Q10-14 (For 60+ 2015). For each of the following, please tell me how satisfied you are today. Q9-13 (For Influencers 2015). Please tell me how satisfied you are with how your community is meeting each of the following needs for 10 Older Adults and Influencers agree that maintaining physical health and memory loss are major concerns; however, Influencers tend to worry more about financial issues Five Biggest Concerns for Older Adults About Aging (Ranked by 60+ 2015) Maintaining your physical h... 32% Maintaining your mental h... 25% 32% 27% 21% 38% 37% 25% 21% Protecting yourself from financial scams, financial fraud, and financial ... 13% Maintaining a sense of purpose and mea... 13% 43% 20% 17% 21% 17% 12% Having access to affordable ho... 38% 11% 33%

11% Getting to the pharmacy, shopping for groceries, or running other er... 37% 11% 10% Aging in ... 9% 17% 14% 17% 8% Feeling iso... 27% 8% Being perceived a... None of the a... 35% 32% 25% Living independ... 40% 4% 1% 17% 6% 7% 11% Influencers are more concerned about financial scams, access to affordable housing, getting

to the doctor or pharmacy, and feelings of isolation 16% *Not showing dont know Q15 (For 60+ 2015). What are your five biggest concerns about aging? Please tell me up to five answers. If you have no concerns, please say so. Q14 (For Influencers 2015). What are the five biggest concerns you have about Older Adults as they age? Please tell me up to five answers. If you 11 Older Adults biggest concerns about living independently are being a burden to others and losing their memory Mobility is also a top of mind concern; however, a quarter of Older Adults say that none of the options concern them 42% IF CONCERNED ABOUT LIVING INDEPEDENTLY: What specific concerns do you have about living independently as you age? (Ranked by 60+ 2015) 41% 60+ 2015 34% 32% 22% 24% 20% 8% *Not showing dont know Q16 (For 60+ 2015). What specific concerns do you have about living independently as you age? 12 Influencers recognize that their communities are working hard to address issues regarding concerns Older Adults have Most say their communities are providing opportunities for interaction and programs to support Older Adults; less than half say their communities encourage home modification Which of the following is your community doing to help address these concerns? (Ranked by Influencers 2015) Influencers 2015

70% 70% 69% 67% 45% 8% *Not showing dont know Q15 (For Influencers 2015). Which of the following is your community doing to help address these concerns? 2% 13 Family, faith, and having a good attitude are Older Adults keys to keeping a positive outlook on life Fewer Older Adults emphasize their faith and spirituality from 2014, though it is still one of the top keys; otherwise, responses are consistent from last year What is the most important key to keeping a positive outlook on life? (Ranked by 60+ 2015) 25% 60+ 2015 60+ 2014 18% 15% 18% 14% 13% 10% 9% 9% 7% 9% 7% 6% 7% 6% 6% 5%5% 2% 1%

2%2% 1% 0% *Not showing dont know Q17 (For 60+ 2015). What is the most important key to keeping a positive outlook on life? Q8 (For 60+ 2014). What is the most important key to keeping a positive outlook on life? 14 Older Adults and Influencers agree that Older Adults tend to be optimistic Nearly all respondents from both groups say that Older Adults are positive or optimistic Older Adults Optimism 60+ 1 57% 94 % 37% Influencer... Very Positive/ Optimisti c Somewh at Positive/ Optimisti c 19% 66% 85 % -5% Not Very/Not At All Positive/ Optimistic -14% *Not showing dont know

Q18 (For 60+ 2015). How positive or optimistic would you consider yourself in general? Q16 (For Influencers 2015). How positive or optimistic would you say Older Adults generally are? 15 Those who say that Older Adults are optimistic cite the support systems around them as a reason behind it Both Older Adults and Influencers say that support from family and their communities help them stay positive; good health is another major contributing factor for Older Adults optimism Older Adults Optimism IF POSITIVE: Why do you say that? 60+ 2015 N=741 Influencers N=128 *Not showing dont know Q18 (For 60+ 2015). How positive or optimistic would you consider yourself in general? Q19, 20 (For 60+ 2015). Why do you say that? Q16 (For Influencers 2015). How positive or optimistic would you say Older Adults generally are? Q17, 18 (For Influencers 2015). Why 16 Falling, having enough money, decreased vision and heavy lifting are top concerns that Older Adults did not have when they were younger About half of Older Adults are now concerned about slipping or falling, lifting things that are too heavy, having enough money and the possibility of decreased vision What are some things you worry about now that you didnt worry about when you were younger? (Ranked by 60+ 2015) 60+ 2015 50% 46% 46% 45% Slipping or fa... The possibility of decreased v... 38% 38% 36% 35% 32% Managing chronic health i... Spending enough time with loved... Walking up/down s...

26% 25% 22% 18% 17% 14% Making sure that there is handicap accessibility wherever y... Monitoring your medicine i... Making sure someone is checking on you regu... None of the ... 5% 7% *Not showing dont know Q21 (For 60+ 2015). What are some things you worry about now that you didnt worry about when you were younger? 17 STAYING MENTALLY SHARP While both groups agree on a number of keys to staying mentally sharp, Older Adults emphasize positive attitude, while Influencers emphasize exercise and social life Best Ways to Stay Mentally Sharp (Ranked by 60+ 2015) Influencers 2015 Keep a positive att... 53% 41% 50% Exercise regu... 49% Eat a healthy... 54% 46% Read b... 43% 45% 45% 44% Stimulate your brain with mental activities (e.g., crossword puzzles, Sudoku, ... Maintain an active social...

Get enough s... 30% Listen to m... 35% 34% 15% Take the right vitamins or nutritional supplem... 30% 24% Stay current with new techno... 26% 26% Volun... Visit cultural events or locations / Participate in... 58% 43% 32% Manage st... 29% 41% 26% 14% 26% 27% Learn new sk... 23% 23% Crafts (e.g., sewing, knitting, or woodwor... 16% Practice meditation, yoga, or other relaxation exer... 11% Go out on d... O

72% 19% 14% 9% 9% *Not showing dont know Q22 (For 60+ 2015). Which of the following do you feel are the best ways to stay mentally sharp as you age? Please tell me up to five answers. Q19 (For Influencers 2015). Which of the following do you feel are the best ways for Older Adults to stay mentally sharp as they age? Please tell me 19 Influencers are more aware and express more concern about issues that may arise that can prevent Older Adults from staying mentally sharp as they age Both groups agree that inactivity and depression are challenges to staying mentally sharp Which of the following prevents Older Adults from staying mentally sharp as they age? (Ranked by 60+ 2015) 60+ 2015 82% 79% 75% 72% 59% 58% 51% 47% 43% 70% 42% 42% 39% 62% 64%

53% 38% 36% 33% 33% 7% 1% 6% 1% *Not showing dont know Q23 (For 60+ 2015), Q20 (For Influencers 2015). Which of the following prevents Older Adults from staying mentally sharp as they age? 20 A slight majority of Older Adults say they are involved in opportunities to learn new things or gain new skills Most participate in these opportunities at their church, online or other neighborhood locations Educational Opportunities for Older Adults Do you currently participate in opportunities to learn something new or develop new skills (e.g., classes, seminars, groups, book clubs)? IF YES: Where do you typically participate in these classes? (Ranked by 60+ 2015, N=531) 39% Church or spiritual ce... 47.0 0% 53.0 0% On 28% Parks, community center, or other neighborhood locat...

27% Local community college, college or univer... 23% Senior center or similar organiza... 22% 24% O Yes No None of the a... 3% *Not showing dont know Q24 (For 60+ 2015). Do you currently participate in opportunities to learn something new or develop new skills (e.g., classes, seminars, groups, book clubs)? 21 Influencers are much more receptive to community-offered opportunities for Older Adults to stay mentally sharp than Older Adults Older Adults are interested in opportunities to volunteer, chances for social interaction and transportation to cultural centers Interest in / Helpfulness of Expansions in Community (Ranked by 60+ 2015 Very Interested) 60+ 2015 (Very Interested) 76% 34% 73% 33% Influencers 2015 (Very Helpful) 73% 32% 63% 45% 29% 45% 26%

24% *Not showing dont know Q26-31 (For 60+ 2015). Please indicate how interested you would be in the expansion of each of the following services to help Older Adults stay mentally sharp in your local community. Q21-26 (For Influencers 2015). Please indicate how helpful the expansion of each of the following services would be to help Older Adults stay 22 HEALTH MANAGEMENT Most expect health care costs to increase in the next decade, especially Influencers Outlook for health care costs among Older Adults is similar to 2014 Health Care Costs Expectations Increase Significa ntly Increase Somewh at 60+ 2015 -31% 60+ 2014 -31% Influence rs 2015 Stay About The Same Decrease Somewh at Decrease Significa ntly -35%

-26% -33% -57% 2%2% -28% -32% 3%1% Influencers; -9% 1% 0% *Not showing dont know Q32 (For 60+ 2015), Q61 (For 60+ 2014). When thinking about the next five to 10 years, do you expect your health care costs to increase significantly, increase somewhat, stay about the same, decrease somewhat, or decrease significantly? Q27 (For Influencers 2015). When thinking about the next five to 10 years, do you expect health care costs for Older Adults to increase significantly, increase somewhat, stay about the same, decrease somewhat or decrease significantly? 24 Older Adults express a much higher level of confidence in their preparation for changes in health they may face than Influencers While nearly 9 in 10 Older Adults say they are confident in their preparedness for changes in health, more than half of Influencers say they are not confident in their preparation Older Adults Preparedness for Health Changes 3% 38% 38% 49% 47% 8% 9% 3% 5% 11% 60+ 2015

60+ 2014 Influencers 2015 Very confident Somewhat confident 41% 44% Not very confident Not at all confident *Not showing dont know ** Due to small base size (<75), findings are directional Q33 (For 60+ 2015), Q67 (For 60+ 2014). How confident are you that you are prepared for changes in your health as you age? Q28 (For Influencers 2015). How confident are you that Older Adults are prepared for changes in their health as they age? 25 Older Adults and Influencers who are confident in Older Adults preparation say it is because they are healthy and can get good care through insurance Those not as confident say it is because they cant know what may happen with health issues Older Adults Preparedness for Health Changes 60+ 2015 N=516 60+ 2015 N=67** IF CONFIDENT: Why do you say that? Influence rs N=66** IF NOT CONFIDENT: Why do you say that? Influence rs N=83 *Not showing dont know ** Due to small base size (<75), findings are directional Q33 (For 60+ 2015), Q67 (For 60+ 2014). How confident are you that you are prepared for changes in your health as you age? Q34, 35 (For 60+ 2015).

26 Why do you say that? Older Adults and Influencers have divergent views regarding whether Older Adults will be able to afford health care costs as they age More than 4 in 5 Older Adults are confident that they will be able to afford these costs, while nearly two-thirds of Influencers are not confident in their ability to do so Affording Health Care Costs with Age for Older Adults Very Confiden t 60+ 2015 Influence rs 2015 Somewh at Confiden t -43% Not Very Confiden t -38% -3% -33% Not At All Confiden t 13% 6% 48% *Not showing dont know Q36 (For 60+ 2015). How confident are you that you will be able to afford health care costs as you age? Q31 (For Influencers 2015). How confident are you that Older Adults will be able to afford health care costs as they age? 14% 27

Most Older Adults rate their health positively, and as a result do not feel they need to see a doctor more than a few times a year Four in 5 Older Adults see their doctor no more than every few months, and three-quarters rate their health as good or excellent How frequently do you see a doctor or other health care provider? Several times a ... 1% Once a ... 1% Several times a m... How would you rate your overall health? 23% 7% 74 % 9% Once a m... Good 51% 34% Every few mo... Fair 25% Every six mo... 18% Once a ... -22% Less than once a ... Excellent

4% Poor -4% *Not showing dont know Q37 (For 60+ 2015). How frequently do you see a doctor or other health care provider? Q38 (For 60+ 2015). How would you rate your overall health? 28 Both audiences agree on the importance of diet, exercise and a positive attitude to maintaining good health Influencers tend to place a higher value on keys to maintaining good health Maintaining Good Health with Age (Ranked by 60+ 2015) Influencers 2015 Eating a healthy diet (e.g., limiting fat, sugar; reducing meal port... 72% Maintaining a positive att... 72% 67% Getting enough s... 65% Exercising regu... 86% 79% 89% 63% Taking your medications as presc... 89% 62% Seeing your doctor regu... Getting support from family and/or fr... 57% Seeing a dentist regu...

57% Reducing st... 57% Having regular eye e... 57% 90% 88% 78% 77% 77% 53% Staying current with your immunizations, including annual flu ... 81% 52% Getting preventive screenings for diseases and condi... 85% 48% Saving money to cover unexpected major health ... 82% 47% Discussing your future care needs with your d... 77% 46% Limiting the amount of alcohol you ... 38% Relaxing through meditation or stretching exer... 34% Limiting the amount you smoke or chew tob... O 91% 4%

9% 76% 69% 81% *Not showing dont know Q39 (For 60+ 2015). What are the keys to maintaining good health as you age? Please tell me all that apply. Q32 (For Influencers 2015). What are the keys for Older Adults to maintaining good health as they age? Please tell me all that apply. 29 Most Older Adults say they exercise on a frequent basis Two-thirds say they exercise at least once a week, including one-third saying they exercise daily; less say they never exercise than did in 2014 Regular Exercise Frequency More than twice a week but not everyday Every day 60+ ... 60+ ... 60+ ... Once/ twice a week 32% 37% 26% 34% 21% 28% Less than once a week

16% 17% 18% 8% 8% Never 7% 10% 16% 18% *Not showing dont know Q40 (For 60+ 2015). How often do you typically exercise or participate in physical activity (e.g., walking, yoga, biking, etc.) for 30 minutes or more? Q47 (For 60+ 2014). How often do you typically exercise for 30 minutes or more? 30 Financial barriers and difficulty understanding benefits or coverage are the biggest perceived obstacles to accessing health care Both groups agree that these are the biggest obstacles, though Influencers see these issues as much greater obstacles than Older Adults do Challenges to Accessing Health Care for Older Adults (Ranked by 60+ 2015) 81% 60+ 2015 87% 78% 58% 47% 25% 24% 20% 16% 48% 45%

16% 50% 39% 38% 23% 13% 11% 10% 10% 10% 3%4% 0% *Not showing dont know Q41 (For 60+ 2015). What are some of the challenges or obstacles you have faced in trying to access health care? Please tell me all that apply. Q33 (For Influencers 2015). What are some of the challenges or obstacles that Older Adults in your community face in trying to access health care? Please tell me all that apply. 31 Older Adults are most interested in opportunities to learn about how to maintain health and fitness classes tailored to them specifically Influencers are more interested in programs that help teach about Medicare and services that provide in-home visits by primary health care physicians Interest in/Helpfulness of Expansions in Community (Ranked by 60+ 2015 Very Interested) 60+ 2015 (Very Interested) 64% 43% 66% 35% 51% 33% Influencers 2015 (Very Helpful) 56% 32% 67%

30% 65% 26% 56% 26% Q42-49 (For 60+ 2015). Please indicate how interested you would be in the expansion of each of the following services in your local community to help Older Adults maintain their health. Q34-41 (For Influencers 2015). Please indicate how helpful the expansion of each of the following services in your local community would be to help Older Adults maintain their health. 64% 23% 32 COST OF AGING Older Adults find it easy to pay monthly bills, while 7 in 10 Influencers report that its difficult for Older Adults to do so Influencers say the Older Adults who have the hardest time paying monthly expenses are those who have a low income or live on a fixed income Paying Monthly Living Expenses for Older Adults 15% Very / Somewh at Easy Neither Easy Nor Difficult Very / Somewh at Difficult 73% 69% 66% 64% 71% 15% 17% 19%

22% 11% 11% 14% 13% 13% IF DIFFICULT: What specific group of Older Adults have more difficulty paying their monthly living expenses? Coded Open End Responses, Ranked by Influencers 2015 Low income Older adults on a fixed income/Older adults relying only on SSI Ages 70 and above Ages 80 and above Moderate income/Middle class Widows/Lives alone Ages 75 and above Older adults who did not plan well/save enough/Made bad financial decisions Older adults with disabilities/illness Minorities Ages 60 and above Ages 65 and above Ages 85 and above Others Don't Know/No Response Influence rs 2015 N=106 28 10 7 6 5 5 4 4 4 4 3 3 3 15 2

*Not showing dont know Q50 (For 60+ 2015). Q20 (For 60+ 2014), Q14 (For 60+ 2013 ), Q15 (For 60+ 2012 ). In general, based on your current income and savings, how easy or difficult is it for you to pay your monthly living expenses? Is it 34 Q42 (For Influencers 2015). In general, how easy or difficult is it for Older Adults to pay their monthly living expenses? Is it Q43 (For Influencers 2015). IF Both groups are concerned about Older Adults having sufficient funds to last the rest of their lives, particularly Influencers Influencers say that family members and financial experts are the best places for Older Adults to get financial help Concern About Having Enough Money for Older Adults to Last for the Rest of Their Life Not At All Concerne Not dVery Concerne d Somewh at Concerne Very d Concerne d 1% 5% 17% 18% 66% 64 % 29% 35% 60+ 2015 93 % 27% Influencers 2015 If Older Adults are struggling with their finances, who is the best

person for them to go to? Coded Open End Responses, Ranked by Influencers 2015 Family member Financial institution/Banker/ Credit Union Agency on Aging Children Financial advisor/counselor/ Accountant Social services Others Don't know/No response *Not showing dont know Q51 (For 60+ 2015). How concerned are you that your savings and income will be sufficient to last for the rest of your life? Are you...? Q44 (For Influencers 2015). How concerned are you that Older Adults have sufficient savings and income to last for the Influencer s 2015 44 11 11 10 10 3 7 4 35 Two-thirds of Older Adults say that they expect their financial situation to stay the same over the next few years Those who expect their financial situation to change for better or worse are split; financial expectations are consistent from 2014 When thinking about the next five to 10 years, do you expect your financial situation to get 20% Much / Somewh at Better Stay About The Same

Much / Somewh at Worse 19% 20% 62% 59% 60+ 2015 60+ 2014 *Not showing dont know Q52 (For 60+ 2015), Q11 (For 60+ 2014, 18-59 2014) When thinking about the next five to 10 years, do you expect your financial situation to get much better, somewhat better, stay about the same, get somewhat worse, or get much worse? 36 Most Older Adults are in charge of managing their own finances More than three-quarters of adults say they manage their own finances; most of those who do not manage their own money say their spouse does it Who is in charge of managing your finances? (Ranked by 60+ 2015) 77% 60+ 2015 14% 3% u Yo se u o Sp . l.. p l ia c an n Fi 2%

2% 1% ild h C r G ild h dc n a 0% g in bl i S *Not showing dont know Q53 (For 60+ 2015). Who is in charge of managing your finances? ie N ce or 0% ... n 0% d n ie r F 0% ... a ci o S

o lw O 1% er th N on e . t.. f o 37 Aside from saving, budgeting and working with a financial planner, Older Adults and Influencers view financial management priorities very differently Important Things to Help Manage Finances for Older Adults (Ranked by 60+ 2015) Influencers 2015 Taking advantage of older adult disco... 43% 23% Creating a monthly budget and sticking t... 38% 39% Sa Limiting leisure expenses (e.g., clothes, vacations, eating out, entertainment, ... 17% Inves... 17% 21% 20% Estate plan... 10%

Participating in training and education so you are more qualified to work or volu... 9% Receiving financial support from other sou... 0% 43% 26% 14% Reducing housing costs (e.g., downsizing, living with roommates, e... None of t... 26% 20% Working beyond retirement... O 43% 36% 21% Working closely with a financial pl... Investigating a reverse mort... 43% 36% 15% 32% 5% 5% 5% 8% 5% *Not showing dont know Q54 (For 60+ 2015). What are the three most important things you are currently doing to manage your financial situation? Please tell me up to three answers.

38 Both groups agree that a higher cost of living, unexpected medical expenses and lack of income are big financial concerns; however, Influencers are much more concerned Biggest Financial Concerns for Older Adults (Ranked by 60+ 2015) Influencers 2015 28% Increasing cost of l... Unexpected medical expe... 13% Not being able to t... 83% 26% 10% Medical or credit card... 70% 9% Not knowing who to ask for ... 8% Not being able to pay back your d... 8% O 62% 13% Being vulnerable to financial scams or financial abuse that targets older a... Living beyond your m... 84% 17% Emergency home rep... Unaffordable hou... 87%

18% Not having enough disposable in... Not having a will in ... 79% 24% 49% 67% 62% 7% 63% 6% 49% 7% 5% None of t... 0% *Not showing dont know Q55 (For 60+ 2015). What worries keep you up at night when it comes to your finances? Q47 (For Influencers 2015). What are your biggest concerns when it comes to their finances? 40% 39 Older Adults are not as certain which services their communities need the most, while Influencers would like more financial assistance for Older Adults What kinds of services would you like your community to have to help Older Adults manage the costs of aging? Coded Open End Responses, Ranked by 60+ 2015 Transportation/Low cost/free transportation options/Increased public transportation options Healthcare/Education on healthcare services/Help with prescriptions/Access to more healthcare services/clinics Help around the house/Help with utilities/repairs/housekeeping/In-home health aid Financial management/advice/classes No additional services/There is a lot of help available/Already have multiple agencies/Our community does well Workshops/Education/Seminars Food programs/Meals On Wheels/Food banks for Older Adults

Taxes/Help with taxes/Lower taxes Activities/Socialization opportunities/Exercise Housing/Affordable housing/Older Adults housing A place to get information/Awareness of how to get information/Area agencies to provide information about what help is available Discounts/Lower costs for Older Adults Help with preparing/planning/Retirement education None/Nothing Others Don't know/No response 60+ 2015 Influencer s 2015 8 11 8 15 5 2 4 24 4 2 3 3 3 3 2 7 3 2 1 5 1 3 1 0 8

17 32 3 3 0 15 3 *Not showing dont know Q56 (For 60+ 2015), Q48 (For Influencers 2015). What kinds of services would you like your community to have to help Older Adults manage the costs of aging? 40 COMMUNITY CONNECTIONS Most Older Adults have not moved homes in the last 20+ years More than half of Older Adults say that they have not moved into a new home in over 20 years, and three-quarters have not moved in over 10 years When was the last time you moved to a new home? 58% 16% 16% In the past 10 years In the past 20 years 10% 1% Less than a year ago In the past 5 years *Not showing dont know Q57 (For 60+ 2015). When was the last time you moved to a new home? Over 20 years ago 42 Family is by far the most important support group for Older Adults Friends and members of their church are also important; Older Adults and Influencers are in agreement on important support groups

for OlderPeople AdultsSupporting Older Adults (Ranked by Important 60+ 2015) 60+ 2015 60% 59% 15% 10% Influencers 2015 11% 10% 4% 1% 2% 1% 2% 3% 7% 5% 1% 3% 3% 0% *Not showing dont know Q58 (For 60+ 2015). Which one of the following groups of people plays the most important role in supporting your quality of life? Q49 (For Influencers 2015). Which one of the following groups of people has the biggest impact on Older Adults quality of life? 3% 0% 43 Older Adults and Influencers have different ideas of where Older Adults are most active in the community Older Adults Community Involvements (Ranked by 60+ 2015) Influencers 2015 54% Running errands (e.g., buying groceries, picking up medication, e... Church or other faith-based organizat... Attending events to watch your grandchil...

40% Attending local social events (e.g., fairs, block parties, ... 40% 39% 42% 35% Visiting cultural centers (e.g., theatres, museums, movies, ... Visiting local libr... Exercising in public (e.g., outdoors, at a gym, at a local YMCA, ... 32% Voluntee... 32% 31% Attending sporting ev... 53% 49% 38% 47% 54% 19% Senior cen... 16% Attending cla... 14% Other community cen... None of the a... 0% 75% 69% 22% Participating in clubs (e.g., Car clubs, Red Hats, Circle of Friends, ... 91%

47% 24% Wor O 65% 52% 83% 36% 55% 7% 3% 4% *Not showing dont know Q59 (For 60+ 2015). Where are you participating in the community the most? Please tell me all that apply. Q50 (For Influencers 2015). Where do you see Older Adults participating in the community the most? Please tell me all that apply. 44 Most Older Adults say that young people today are less supportive of their elders than their generation Older Adults who say young people are more supportive base it off of personal experiences, while Older Adults who say young people are less supportive state they lack respect and only care about themselves Would you say that young people today are more supportive of Older Adults than your generation was at their age? IF MORE SUPPORTIVE: Why do you say that? N=121 12.63% 25.26% 62.11% More supportive IF LESS SUPPORTIVE: Why do you say that? N=574

About as supportive Less supportive *Not showing dont know Q60 (For 60+ 2015). Would you say that young people today are more supportive of Older Adults than your generation was at their age? Q61 (For 60+ 2015). IF MORE OR LESS SUPPORTIVE: Why do you say that? 45 Most Older Adults are confident that they would be able to find support in their community in their later years Less than a fifth of Older Adults say they are not confident that they would be able to find the support they need How confident are you that you would be able to find help and support in your community as you age? Very Confident 60+ 2015 -40% Somewhat Confident Not Very Confident -39% Not At All Confident 13% *Not showing dont know Q62 (For 60+ 2015). How confident are you that you would be able to find help and support in your community as you age? 6% 46 Older Adults and Influencers anticipate different needs as they age; Older Adults anticipate needing assistance more than in 2014 Overall, Influencers think that Older Adults will need help with more things than Older Adults What services do you anticipate needing as you age? Ranked by 60+ 2015 Support doing maintenance on your house Support with long-term care, which might

include home care, assisted living, adult daycare, etc. Support managing your health and wellness Support with transportation Support to stay socially connected Support getting around your home Support managing your nutrition and/or meals Support exploring housing options Support managing disease prevention Support managing your finances Other Don't know 60+ 2015 60+ 2014 Influence rs 2015 52% 40% 78% 45% 36% 86% 39% 39% 27% 20% 20% 19% 19% 19% 8% 10% 29% 39% 24% 14% 24% 17% 19% 15% 11% 15% 86%

89% 82% 67% 84% 65% 73% 86% 3% 0% Q63 (For 60+ 2015), Q80 (For 60+ 2014). What services do you anticipate needing as you age? Please tell me all that apply. Q51 (For Influencers 2015). What services do Older Adults need as they age? Please tell me all that apply. 47 Influencers tend to think the community is more supportive of Older Adults needs Older Adults anticipate needing support with house maintenance the most, something they do not currently think their community does a good job with Which of the following needs, if any, does your community help meet for its older citizens? Ranked by 60+ 2015 Support with transportation Support with long-term care, which might include home care, assisted living, adult daycare, etc. Support managing your nutrition and/or meals Support to stay socially connected Support managing your health and wellness Support managing disease prevention Support doing maintenance on your house Support getting around your home Support exploring housing options Support managing your finances Other Don't know 60+ 2015 60+ 2014 Influencer s 2015 46% 48% 73% 45%

38% 86% 43% 40% 39% 31% 27% 24% 23% 22% 11% 17% 41% 41% 32% 26% 22% 21% 25% 13% 8% 23% 75% 73% 77% 63% 55% 56% 52% 51% 1% 1% Q81 (For 60+ 2014). Which of the following needs, if any, does your community help meet for its older citizens? Q63 (For 60+ 2015), Q80 (For 60+ 2014). What services do you anticipate needing as you age? Please tell me all that apply. Q64 (For 60+ 2015), Q52 (For Influencers 2015). Which of the following needs, if any, does your community help meet for its Older Adults? Please tell me all that apply. 48 While Older Adults point to a number of different sources where they can learn about available services, Influencers say Older Adults go to senior centers and friends/family Older Adults cite online searches, friends and family, and medical sources as places they can learn about the services and support available to them Where would you turn to learn about what services and support are available to you as you

age? Coded Open End Responses, Ranked by 60+ 2015 Computer/online Friends/family members Medical facility/professional/VA/Healthcare insurance company Senior centers City/county offices/City hall/Chamber of Commerce Council/agency on aging/Department/division on aging (various, but not USOA mentions) Church Social/human services Library Word of mouth Social security Others Don't know/No response 60+ 2015 Influencers 2015 13 12 11 10 6 3 15 3 28 1 4 3 4 3 1 0 0 23 11 6 4 3 3 3 19 4 *Not showing dont know

Q65 (For 60+ 2015). Where would you turn to learn about what services and support are available to you as you age? Q53 (For Influencers 2015). Where do Older Adults go to learn about what services and support are available to them as they age? 49 Influencers anticipate funding for services for Older Adults as the biggest age-related challenge by far for communities Nearly half agree that this will be an issue in the next five to 10 years; other anticipated challenges include lack of sufficient health care access and affordable housing What do you think is the biggest age-related challenge communities will face in the next five to 10 years? (Ranked by Influencers 2015) 41% Lack of funding for services that support Older Adults (e.g., long term service, support like in-home care) 15% Lack of sufficient health care access 11% Lack of affordable housing 9% Insufficient public transportation 6% Lack of local organizations supporting Older Adults 5% Lack of conveniently located gathering spaces such as senior centers 4% Low priority of Older Adults in local government Insufficient emergency response services 1% 9% Other None of the above 1% *Not showing dont know Q54 (For Influencers 2015). What do you think is the biggest age-related challenge communities will face in the next five to 10 years?

50 Older Adults are more interested in initiatives that would assist them, but still allow them to maintain their independence Influencers continue to show more interest in programs and services that would help Older Adults, particularly advocacy initiatives Interest in/Helpfulness of Expansions in Community (Ranked by 60+ 2015 Very Interested) 60+ 2015 (Very Interested) 67% 41% 53% 40% Influencers 2015 (Very Helpful) 60% 35% 60% 34% 57% 47% 28% 27% *Not showing dont know Q66-71 (For 60+ 2015). Please indicate how interested you would be in the expansion of each of the following services in your local community to help Older Adults. Q55-60 (For Influencers 2015). Please indicate how helpful the expansion of each of the following services in your local community would be in 51 Both groups say that the most common misconceptions about aging are negative Both Older Adults and Influencers cite the same top three common misconceptions about aging What do you think is the most common misconception about aging? Coded Open End Responses, Ranked by 60+ 2015 Diminished mental capabilities/Senile/Forgetful Bad/Difficult/Not fun/Unhappy No longer relevant/useful/They have nothing to offer/no value All other negatives of aging

Incompetent/Unable to do anything/Can no longer do the things they used to do (unspecific) Older Adults are helpless/need help/They cannot do things on their own Not smart/knowledgeable/Stupid/Older Adults do not know anything Golden years Immobile/Cannot get around/No longer active/Disabled Good health/Stay active They have money/They do not need to worry about money Fun/Enjoy life Sick/unhealthy A specific age makes you old Younger people do not think they will get older/die Older Adults can take care of themselves/They do not need help/They are independent Others Don't know/No response 60+ 2015 Influencers 2015 8 6 5 5 8 8 10 7 4 6 4 6 4 4 3 3 2 2 1 1 1 1 2 4 2

6 4 4 4 4 1 4 26 20 15 4 Q72 (For 60+ 2015), Q61 (For Influencers 2015). What do you think is the most common misconception about aging? 52 AGING INFRASTRUCTURE Older Adults and Influencers agree that better and more abundant public transportation is the most important thing that would help Older Adults get around Nearly half of Older Adults (42%) and 2 in 3 Influencers (64%) agree on this; 1 in 10 Influencers (11%) also say that making transportation cheaper would help What is the most important thing your community could do to make it easier for Older Adults to get around? Coded Open End Responses, Ranked by 60+ 2015 60+ 2015 Influencers 2015 42 64 7 5 5 11 Better sidewalks 3

1 Door-to-door service/Taxis 2 2 Access-a-ride/Service where you can call to get a ride 2 1 Advertise/Inform Older Adults of what services are available Nothing (negative)/Nothing they can do/Too rural to provide transportation No/None/Nothing 1 4 1 0 3 0 Others 13 9 Don't know/No response 20 3 Better transportation/public transportation/More busses Nothing (positive)/It is fine the way it is now/Keep things the way they are now Cheaper transportation/Free busses/taxis Q73 (For 60+ 2015). What is the most important thing your community could do to make it easier for Older Adults to get around? Q62 (For Influencers 2015). What is the most important thing your community could do to make it easier for Older Adults to get around? 54

Despite rating their communitys infrastructure very positively, few Older Adults say their local public transportation is good More than three-quarters of Older Adults are satisfied with their communitys infrastructure, yet 28% rate the public transportation as poor How satisfied are you with your communitys infrastructure as a whole (e.g., roads, public transportation, parks, buildings, etc.)? Very Satisfied 36 % 36% Somewhat Satisfied Not Very Satisfied How would you rate the quality of public transportation in your community? 78 % 15% Very Good 21% Good -22% Acceptable 42% -18% Not At All Satisfied -12% -6% 18 % 28

% -10% Poor Very Poor *Not showing dont know Q74 (For 60+ 2015). How satisfied are you with your communitys infrastructure as a whole (e.g., roads, public transportation, parks, buildings, etc.)? 55 Older Adults find it very easy to get to where they need to go Nearly all Older Adults say they find it easy to get around, including three-quarters who say it is very easy; less than 1 in 10 have used ride-sharing services like Uber How easy or difficult do you find it to get yourself to where you need to go? Have you ever used or would you consider using a ride-share service such as Uber or Lyft to get you where you need to go? Very Easy 8.60% 23.66% 75% 92 % Somewhat Easy 17% Not Very/ Not At All Easy -6% 25.81% Have used Neither 41.94% Would consider using Have never heard of Uber or Lyft

*Not showing dont know Q77 (For 60+ 2015). How easy or difficult do you find it to get yourself to where you need to go? Q76 (For 60+ 2015). Have you ever used or would you consider using a ride-share service such as Uber or Lyft to get you where you 56 Influencers have a pessimistic view about adults aging in place, and have heightened concern about a number of potential issues The biggest barriers Influencers perceive to Older Adults aging in place are inability to get to where they need to go for errands, loss of mental capacity, loss of mobility and heightened fall risk What are the biggest barriers to adults aging in place? (Ranked by Influencers 2015) 84% Inability to drive or walk to do errands themselves (e.g., buying groceries) Loss of mental capacity or cognitive function 83% Loss of mobility 83% 82% Heightened fall risk 79% Difficulty getting up and down stairs Inability to perform activities of daily living (e.g., eating, bathing, dressing, using the toilet) 77% Inability to maintain their home 77% 74% Inability to pay bills themselves 69% Inability or reluctance to manage chronic diseases 68% Safety concerns related to cooking meals alone Other 3%

*Not showing dont know Q63 (For Influencers 2015). What are the biggest barriers to adults aging in place? Please tell me all that apply. 57 Most Older Adults plan to stay in their current home for the rest of their lives because it meets their needs and allows them to live independently Most of those who plan to stay in their home say it is for voluntary reasons, as opposed to issues such as not being able to afford to move IF YES: For which of the following reasons do you plan to continue living in your current home for the rest of your life? Do you intend to continue living in your current home for the rest of your life? Yes No Don't know 77% 75% 80% 78% Your home meets all your ... 69% 75% You want to be able to live independ... 69% 71% Your home is located in a good neighbo... Youve invested financially in your... 61% 62% You want to stay close to friends or f... 58% 62% 49% 47%

You have a lot of memories in your... 19% 17% 6% You cannot You cannot affordafford to... to move; 0% 60+ 2014 21% N/A* 8% 6% 5% Don't... 60+ 2015 60+ 2014 (N=772) 60+ 2015 (N=384) 1% 1% *Not an option in 2014 Q 78 (For 60+ 2015), Q30 (For 60+ 2014). Do you intend to continue living in your current home for the rest of your life? Q79 (For 60+ 2015), Q31 (For 60+ 2014). For which of the following reasons do you plan to continue living in your current home for the rest of your life? Please tell me all that apply. 58 Older Adults do not feel as strong a need to make home modifications to help them age in place as Influencers, and as a result have not made such changes Influencers think it is very important to make a number of home improvements to age in place, while one-third of Older Adults say they have not made such modifications Home Improvements for Older Adults (Ranked by 60+ 2015)

60+ 2015 91% 85% 75% 34% 28% 26% 81% 24% 86% 88% 74% 31% 23% 14% 10% 4% 9% 0% *Not showing dont know Q80 (For 60+ 2015). Which of the following home improvements have you made to help you age in place? Q64 (For Influencers 2015). Which of the following home improvements are important to helping Older Adults age in place? 59 Nearly half of Older Adults have not had any issues or challenges living at home Among Older Adults who have had issues, home maintenance, risk of falling and lack of affordable housing are the top challenges; Influencers cite similar top issues, though to a greater degree Challenges in Older Adults Home (Ranked by 60+ 2015) Influencers 2015 60+ 2015 26% Home maintenance 18% Risk of falling

80% 12% Lack of sufficient affordable housing 68% 11% Lack of necessary home modifications Not being close to doctors, stores, and other services you need 10% Costs of rent/ownership 10% 9% Disengaged neighbors Not feeling safe 7% Isolation 7% 69% 59% 70% 49% 57% 70% 5% 4% Other None of the above 79% 1% 47% *Not showing dont know Q81 (For 60+ 2015). What are some challenges that you face with the home you live in? Q65 (For Influencers 2015). What are some challenges that Older Adults in your community face when it comes to housing? 60

Older Adults are interested in improvements that would help them get around, especially road repairs, which Influencers have little interest in Influencers are much more interested in expanded support for public transportation, sidewalk accessibility and home modifications, support that directly helps Older Adults in their living Interest and transportation situations in / Helpfulness of Expansions in Community (Ranked by 60+ 2015 Very Interested) 60+ 2015 (Very Interested) 79% 46% 30% 40% Influencers 2015 (Very Helpful) 69% 65% 35% 33% 26% 25% 40% 18% *Not showing dont know Q82-87 (For 60+ 2015). Please indicate how interested you would be in the expansion of each of the following services in your local community to help Older Adults. Q66-71 (For Influencers 2015). Please indicate how helpful the expansion of each of the following services in your local community would be to help 61 Older Adults are more likely than Influencers to say that their community is doing enough to prepare for the needs of a growing retired population About half of Older Adults say their community is doing enough in this regard, versus about a third of Influencers; however, less say so than last year Community Preparedness for Growing Older Adult Population 60+ 2015 14.8

5% 46.5 38.6 3% 1% 60+ 2014 16.0 0% 30.0 54.0 0% 0% Yes No 60+ 2013 18 33 49 Influencers 2015 1.00 % 37.0 62.0 0% 0% Dont Know Q88 (For 60+ 2015), Q79 (For 60+ 2014), Q58 (For 60+ 2013). Do you feel your community meaning the city/town you live in is doing enough to prepare for the needs of a growing senior population? Q72 (For Influencers 2015). Do you feel your community is doing enough to prepare for the needs of a growing older adult population? 62 Aside from a few concerns, both Older Adults and Influencers are optimistic about the effects of the baby boomer population retiring While there is some concern about the pool of taxpayers shrinking, the expected effects on businesses, the economy, Older Adults health and other areas are positive Impact of Retiring Baby Boomers (Ranked by 60+ 2015) Influencers 2015 60+ 2015 43% Businesses will offer more products and services that meet the unique needs of Older Adults There will be fewer taxpayers to support public older adult services 73% 38%

The economy will benefit from increased demand for aging-related products and services 61% 36% Older Adults will benefit from a more healthy Baby Boomer generation 67% 35% Older Adults will have a larger support group in the community than before Society as a whole will have a more accurate perception of Older Adults 34% Due to their size, older generations will hold more political power than they presently do 34% 64% 61% 65% 28% The economy will be hurt by a smaller workforce There will be too many people for older adult services to help 27% Older Adults will learn from Baby Boomers and best practices when it comes to retirement management 27% 23% There will be fewer employees at older adult services Other None of the above 73% 39% 3% 1% 49% 63% 43% 38% 6% 7%

*Not showing dont know Q89 (For 60+ 2015). What impact do you think the growing group of baby boomers who are entering retirement age will have on aging Older Adults such as yourself? Q73 (For Influencers 2015). What impact do you think the growing group of baby boomers who are entering retirement age will have on the Older 63 TO LEARN MORE ABOUT THE UNITED STATES OF AGING SURVEY, VISIT: WWW.NCOA.ORG/UNITEDSTATESOFAGING

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