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* 1. Do you currently use any of Age UK RBH’s Services? If so which ones? Please tick all that apply:

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* 2. If you would like to know more about any of these services, please state which one/ones and leave your name and contact details:

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* 3. Toe Nail Cutting Service. Do you find it difficult to cut your own toe nails, due to physical limitations?

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* 4. Do you currently use a professional toe nail cutting service?

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* 5. If you answered Yes, where do you go to get your toe nails cut and how much do you pay?

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* 6. What is your preferred method of accessing the service?

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* 7. Other (if applicable):

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* 8. If you are interested in using an Age UK centre, to attend the chargeable toe nail clinic, please leave your name and contact details:

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* 9. If you answered No, please explain why you wouldn’t be interested in using the Age UK toe nail cutting service?

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* 10. Are there any barriers which are preventing you from using a toe nail cutting service?

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* 11. If you said Yes, please can you give details of what these barriers are e.g. cost, travel etc.:

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* 12. Do you have any concerns or additional thoughts about using a toe nail cutting service? (Please give details):

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* 13. Home help services. Do you need assistance with any of the following activities? Please tick as many as apply:

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* 14. Other (if applicable):

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* 15. Do you currently receive any type of home support service?

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* 16. If you said Yes, who supplies these activities? Please specify:

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* 17. If you said No, but would like to find out more about Age UK RBH’s chargeable Home Support Service, please leave your name and contact details.

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* 18. If you currently use Age UK’s Home Support Service, how satisfied are you with the services?

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* 19. What changes would you like to see with the Home Help Services you use, to improve quality or convenience?

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* 20. If you don’t currently use a Home Help Service, would you be interested in receiving support from Age UK RBH’s chargeable Home Support Service?

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* 21. Are there any barriers, preventing you from getting some Home Support? For example, cost?

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* 22. If you said Yes, please can you give details of barriers:

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* 23. If you would like a Home Support Worker, would you prefer them to be able to speak a specific language?

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* 24. If you said Yes, please specify the language:

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* 25. Are you in receipt of Attendance Allowance Benefit?

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* 26. If you put No and you are interested in finding out if you are eligible for Attendance Allowance, leave your name and contact details:

Handy Person Scheme. Redbridge did have a service up until recently provided by the HEET Handy Person Scheme, doing odd jobs for older people. Unfortunately, this scheme has now shut down, due to lack of funding and has left a big void in the borough. Age UK RBH is considering the possibility of trying to offer a similar service, if able to gain funding. Your feedback will provide insight to the demand and the type of service required. The project aims to provide affordable, reliable help for small tasks around the home, such as repairs, assembly and maintenance.

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* 27. Have you ever used the HEET Handy Person Scheme in the past?

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* 28. If you said yes, please give details about what you used it for and how good did you find the service? Please give details:

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* 29. Would you like to have a Handy Person Scheme available to you in the future?

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* 30. If you said No, please explain why?

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* 31. What kind of tasks would you find the scheme most useful for? Tick as many as apply:

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* 32. Other (if applicable):

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* 33. What are the main reasons why you would want to use such a service? Please tick as many as apply:

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* 34. Other (if applicable):

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* 35. What price range would you find reasonable for these type of services?

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* 36. What might prevent you from using the Handy Person Scheme? Please give details.

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* 37. How would you prefer to book the Handy Person Scheme?

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* 38. Other (if applicable):

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* 39. Are there any other services you would like Age UK to provide you with? Please give details.

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* 40. Is there anything else you would like to comment on?

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* 41. Your Gender

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* 42. Your Age

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* 43. Ethnicity

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* 44. Household

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* 45. Accommodation

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* 46. Physical Health

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* 47. Mental Health

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* 48. Employment

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* 49. Income

Thank you for taking the time to fill out this survey. Your feedback is valuable and will help us determine the best way to serve you.

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