Questionnaire Response - Henry Doughton

1. What is your age? 76 - 80
2. Which of the following best describes your current living situation? Live alone
3. How important do you consider your independence to be? Very important/vital
4. On an average week, how often to you leave your home? More than once a day
5. Which of the following best describes your current family situation? 1-2 children (with of without grandchildren)
6. Where does your family live? Within 2-10 miles, In the UK
7. Which family members live the closest to you? Children
8. Which of the following best decribes how often you see your family? Once a week, Once every 6 months (2 Children, 1 local & 1 not)
9. Do you worry that if you have an accident at home, you would be unable to get help? No
10. If there was a device that existed to help you improve with your day to day life, would you like to have it in your home and use it? Yes
11. Which of the following functions of a device would help you retain your independence in your own home? Automatic lighting systems, Fire sensors with automatic appliance shut off, Fire sensors with sprinkler system, Gas/carbon monoxide detectors, Automatic cooker shut off when leaving home
12. Which of the following best describes your mobility in your home? I walk completely unaided
13. If you live in a home with stairs, do you use a stair lift? No
14. Are there any other additional suggestions/concerns/comments you would like to contribiute? I have problems with my back, how can your thing help me?