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? Everyday
5. Which of the following best describes your current family situation?
* Sibling(s) (with of without chilren/grandchildren)
* 1-2 children (with of without grandchildren)
6. Where does your family live?
* Within 2-10 miles - Grandaughter, Sister
* In the UK - rest of the Family
7. Which family members live the closest to you?
Sister, Grand-daughter
8. Which of the following best decribes how often you see your family?
* Once a month - Son/Daughter in Law
* Once a fortnight - Grand-daughter, Sister
9. Do you worry that if you have an accident at home, you would be unable to get help?
* Yes
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?
* Personal alarm/panic button
* Automatic lighting systems
* Automatic opening/closing curtains
* Shopping home delivery service
* 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 contribute?
I have a cat, I don't want him to set off any alarms!
Labels: persona, questionnaire