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Growing Old Survey
Thank you for agreeing to take part in our growing old survey. It should take you only a minute or two to complete. Write NO in questions you don't wish to answer.
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1. What is the best things and worst things about being older?
Your answer
2. Since you have become older what daily activities do you find more of a struggle and why?
Your answer
3.What concerns you most about getting older?
Your answer
4. Do you ever feel isolated?
Your answer
5. Do you suffer with low self-esteem?
Yes
No
Sometimes
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6. Do you suffer with depression or boredom?
Your answer
7. Have you ever suffered any age discrimination issues?
Your answer
8. Are you worried about paying bills and the lack of income since you retired?
Yes
No
Sometimes
9. Have you had any slips or falls in the last few years?
Yes
No
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10. Would you want to go into a nursing home if you became unable to care for yourself?
Your answer
11. Do you have family or a partner who would be able to care for you if you became unable?
Your answer
12. How have you made any improvements to your house making it more elderly friendly?
Your answer
13. What if anything do you think the government could do more to help you?
Your answer
14. Do you wish you could see your family more often?
Your answer
15. Do you struggle with looking after yourself, eating, hygiene ect?
Your answer
16. Do you keep active or have any hobbies?
Your answer
17. What would you advice younger people regarding retirement?
Your answer
18. Do you have any regrets?
Your answer
19. What would you have done different if you could have?
Your answer
20. What about society and our government would you change if you could?
Your answer
21. Is there anything else you would like to say?
Your answer
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