Experience of ageism in healthcare

Health Consumers NSW, the Older Women’s Network and the Association for the Wellbeing of Children in Healthcare are interested to find out about people’s experience of ageism in health care. We know people can experience ageism anywhere, but this survey is about ageism in health care.

Being treated differently because of your age can happen to ANYONE and we would like to hear from people of all ages and all genders (male, female and others) to let us know about your experience.

This survey should only take about 5 minutes to complete and all responses are anonymous (except if you give us permission to share your story).

Question Title

* 1. What is your age?

under 18

18 -25

26 -35

36 - 45

46 – 55

56 – 65

66 – 75

76 – 85

86 – 95

over 95

Question Title

* 2. Are you:

Male

Female

Other

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* 3. Which best describes you?

I live in a large city

I live on the edge of a large city

I live in a large regional city or town

I live in a rural area

I live in a remote area

Question Title

* 4. I live in:

NSW

Another state or territory in Australia

Outside of Australia

Question Title

* 5. Have you ever felt like you received different treatment (compared to other patients) from a health service because of your age?

Yes

Unsure

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* 6. Has anyone in your surroundings ever felt like they received different treatment from a health service because of their age?

My Parents

My spouse

My Friend

My child

My grandparents

My carer

My Client

Other (please specify)