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Aging well, Dying well digital survey
Aging well, Dying well digital survey
1.
Please provide your Citizenship number
2.
Please provide which age range you fall into.
18-29
30-49
50-64
65-84
85+
3.
Have you completed the robo call?
Yes
No
4.
What would help you feel more informed about end-of-life choices? ( Check all that apply)
Clear written information
Conversations with a trusted Métis support person
Family education or community workshops
Access to culturally grounded Advance Care Planning tools
Other (please specify)
5.
What makes it hard to talk about death with your family or friends? (Check all that apply)
I don’t know how to start the conversation
My family avoids the topic
I don’t feel emotionally ready
I’m not sure what’s culturally appropriate
Nothing — I talk about it openly
Other (please specify)
6.
What specific cultural elements matter to you at the end of life?
7.
What does dying well mean to you?
8.
Have you ever seen someone not being respected during end-of-life care? (If Yes check all that apply)
No
Yes
Identity
Culture
Chosen family
Other (please specify)
9.
What worries you most about end-of-life care? (Check all that apply)
Being alone or isolated
Not being able to make my own choices
Pain or lack of comfort
Family not knowing what I want
My culture not being understood
identity not being respected,
Not knowing who to call or what to ask
Nothing worries me
Other (please specify)
10.
Would you like to be contacted for a 1 on 1 interview regarding this topic?
Yes
No