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Kondinin Kulin Aged Care Committee Survey
1.
Your Age?
20-39
40-49
50-59
60-69
70-79
80-89
90+
2.
Where do you currently reside?
Kondinin within town
Karlgarin within town
Hyden within town
Kulin within town
Within the local agricultural area
Other (please specify)
3.
How long have you lived in the district?
Under 12 months
1-2 years
3-5 years
5-10 years
10+ years
4.
Your Current living situation?
In town - own house
In town-rental
In town - retirement unit
In town - with extended family
On farm- own house
On farm- rental
On farm - with extended family
Kondinin Hospital
Other (please specify)
5.
How many people live in your household full-time?
1
2
3
4
5+
6.
How suitable is your residence for your current needs and stage of life?
Very suitable
Suitable
Unsuitable
Comment
7.
If suitable aged care accommodation is available within the district, would you intend to continue living here ?
Yes (please continue to question 8)
No (please go to question 9)
Comment
8.
What accommodation options would you consider?
Current home with modifications
Smaller house
With Family
Independent unit/Retirement Village (West Court/Whispering Gums/Kulinda etc.)
Yeerakine Lodge (Individual ensuite rooms, with common lounge and kitchen facilities)
Kondinin Hospital
Other (please specify)
9.
Are you currently recieving care?
Yes
No
10.
What level of care are you recieving?
Levels 1–2 (Entry-Level): Basic support for independent living, including light housework, social support, and minor home maintenance.
Levels 3–5 (Moderate Support): Intermediate care, including assistance with personal hygiene, meal preparation, and nursing visits.
Levels 6–8 (High Support): Extensive daily care, such as advanced nursing, dementia management, and high-level allied health support.
11.
Who is providing that care?
12.
If your care levels increase would you stay in the district?
Yes
No
13.
How would you rate your care?
1 star
2 stars
3 stars
4 stars
5 stars
14.
Do you foresee requiring care in the Kondinin Hospital or Yeerakine Lodge in the future?
Yes - 6-12 months
Yes - 1-2 years
Yes - 2-5 years
Yes 5+ years
No
15.
Do you have any any other comments, suggestions or further information required?
16.
Please complete the following details if you would like to stay informed about the future of aged care in our area.
Name
Phone Number
Email
Address