EFCCA Survey on people with IBD aged 60 and over

Demographics

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* 1. What is your age?

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* 2. What is your gender?

Female

Male

Non-defined

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* 3. What is your height (cm)?

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* 4. What is your weight (Kg)?

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* 5. What is your current job situation?

Full time job

Part-time job

Volunteering work

Not working but not retired

Retired

Sick leave (IBD related)

Disability

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* 6. Are you involved in any family daycare activity (for example, looking after your grandchildren)?

Yes

No

I would like to, but I can’t because of my IBD

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* 7. What is your education level?

Middle-Lower School

High school

Higher vocational or university

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* 8. Where are you living?

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* 9. In which year were you diagnosed with your IBD?

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* 10. What type of IBD do you have?

Crohn’s disease

Ulcerative colitis

Unclassified IBD