The term “age-friendly” is widely used to describe cities, communities, health systems, and other environments. However, little is known about how this is interpreted or what the term means to the public. To investigate the public’s familiarity with the term and gain insights into its relevance to older adults, we utilized data generated by a survey of 1000+ adults aged 40 and above. We employed a 10-question survey, distributed online in the US from 8 to 17 March 2023 via a third-party vendor, that captured awareness and perceptions of age-friendly designations by exploring awareness of the term, contextual understanding, and influence on decision making. The resultant aggregate data was analyzed using Microsoft Excel and straightforward summary statistical analyses. The majority of respondents (81%) were aware of the term “age-friendly.” Older adults (ages 65+) lagged in the self-described extreme or moderate level of awareness compared to adults aged 40–64. In the surveyed population, the term “age-friendly” was most often understood to apply to communities (57%), followed by health systems (41%) and cities (25%). Most people believed “age-friendly” refers to all ages, even though age-friendly health systems are designed to meet the unique needs of older adults. These survey results provide the age-friendly ecosystem field with insights into the awareness and perceptions of the term “age-friendly,” highlighting opportunities to bolster understanding.