Survey 1 - RR

Mobility Support in the Home

We are seeking to understand how people might need minor mobility support at home if they live with chronic and/or recurring conditions. We’d appreciate it if you would help us by answering the following questions:

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* 1. Do you have problems doing any of the following? (please tick all that apply)

Picking up small- to medium-sized items (e.g. cell phone, bottle cap) from the floor

Reaching shelves above shoulder height

Reaching into lower cupboard or fridge shelves

Moving from a standing to a sitting position or vice versa without help

Fetching items (such as medication bottles, books) from another location in your house

Carrying items from one point to another, e.g. carrying a plate of food to the dining table

Walking up- and downstairs without help

Other (please specify)

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* 2. What illness or condition limits your mobility? How often might you be affected in a given month?

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* 3. Have you bought a device or appliance to help with any of these mobility challenges?

If you did buy something, what was it?

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* 4. Where did you buy it?

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* 5. Would you be interested in buying an appliance or device to help?

If no, why not?

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* 6. What's the one most important thing a device or appliance could do to help with your specific needs?

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* 7. How much might you be willing to pay to buy something that would help you with these actions?

500

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. Would you like a device where the look and feel could be personalized with different colours or design elements?

If yes, what would like to be customized?

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* 9. To help categorize our responses, we’d be grateful if you would tell us the following details about yourself:

Male

Female

Other/Prefer not to answer

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* 10. Age Range

18-30

31-50

51-65

65-80

80+