Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. 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: OK Question Title * 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) OK Question Title * 2. What illness or condition limits your mobility? How often might you be affected in a given month? OK Question Title * 3. Have you bought a device or appliance to help with any of these mobility challenges? Yes No If you did buy something, what was it? OK Question Title * 4. Where did you buy it? OK Question Title * 5. Would you be interested in buying an appliance or device to help? Yes No If no, why not? OK Question Title * 6. What's the one most important thing a device or appliance could do to help with your specific needs? OK Question Title * 7. How much might you be willing to pay to buy something that would help you with these actions? 0 500 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 8. Would you like a device where the look and feel could be personalized with different colours or design elements? Yes No If yes, what would like to be customized? OK Question Title * 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 OK Question Title * 10. Age Range 18-30 31-50 51-65 65-80 80+ OK THANK YOU!