Community - Needs of the Elderly & Vulnerable

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* 1. Full name:

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* 2. Please tick which category/ies apply to you.

Occupation (eg doctor, carer etc)

Volunteer

Group Representative

Community Representative

Other (please specify)

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* 3. Name of your organisation or group?

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* 4. Please tell us which area your role or group covers?

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* 5. Select issues or concern you have or come across in your community.

	1 - slight concern	2 - quite worried	3 - worried	4 - very worried	5 - major worry/concern	n/a
General Health	General Health 1 - slight concern	General Health 2 - quite worried	General Health 3 - worried	General Health 4 - very worried	General Health 5 - major worry/concern	General Health n/a
Having Independence	Having Independence 1 - slight concern	Having Independence 2 - quite worried	Having Independence 3 - worried	Having Independence 4 - very worried	Having Independence 5 - major worry/concern	Having Independence n/a
Living with a long term illness or disability	Living with a long term illness or disability 1 - slight concern	Living with a long term illness or disability 2 - quite worried	Living with a long term illness or disability 3 - worried	Living with a long term illness or disability 4 - very worried	Living with a long term illness or disability 5 - major worry/concern	Living with a long term illness or disability n/a
Feeling isolated or lonely	Feeling isolated or lonely 1 - slight concern	Feeling isolated or lonely 2 - quite worried	Feeling isolated or lonely 3 - worried	Feeling isolated or lonely 4 - very worried	Feeling isolated or lonely 5 - major worry/concern	Feeling isolated or lonely n/a
Money worries	Money worries 1 - slight concern	Money worries 2 - quite worried	Money worries 3 - worried	Money worries 4 - very worried	Money worries 5 - major worry/concern	Money worries n/a
Keeping (a home) warm	Keeping (a home) warm 1 - slight concern	Keeping (a home) warm 2 - quite worried	Keeping (a home) warm 3 - worried	Keeping (a home) warm 4 - very worried	Keeping (a home) warm 5 - major worry/concern	Keeping (a home) warm n/a
Transport or getting to places	Transport or getting to places 1 - slight concern	Transport or getting to places 2 - quite worried	Transport or getting to places 3 - worried	Transport or getting to places 4 - very worried	Transport or getting to places 5 - major worry/concern	Transport or getting to places n/a
Caring for a home or garden	Caring for a home or garden 1 - slight concern	Caring for a home or garden 2 - quite worried	Caring for a home or garden 3 - worried	Caring for a home or garden 4 - very worried	Caring for a home or garden 5 - major worry/concern	Caring for a home or garden n/a
Caring for pets	Caring for pets 1 - slight concern	Caring for pets 2 - quite worried	Caring for pets 3 - worried	Caring for pets 4 - very worried	Caring for pets 5 - major worry/concern	Caring for pets n/a
Caring for a partners or family member	Caring for a partners or family member 1 - slight concern	Caring for a partners or family member 2 - quite worried	Caring for a partners or family member 3 - worried	Caring for a partners or family member 4 - very worried	Caring for a partners or family member 5 - major worry/concern	Caring for a partners or family member n/a
How to maintain contact with family and friends	How to maintain contact with family and friends 1 - slight concern	How to maintain contact with family and friends 2 - quite worried	How to maintain contact with family and friends 3 - worried	How to maintain contact with family and friends 4 - very worried	How to maintain contact with family and friends 5 - major worry/concern	How to maintain contact with family and friends n/a
Keeping physically active	Keeping physically active 1 - slight concern	Keeping physically active 2 - quite worried	Keeping physically active 3 - worried	Keeping physically active 4 - very worried	Keeping physically active 5 - major worry/concern	Keeping physically active n/a
Eating a healthy diet or access to fresh food	Eating a healthy diet or access to fresh food 1 - slight concern	Eating a healthy diet or access to fresh food 2 - quite worried	Eating a healthy diet or access to fresh food 3 - worried	Eating a healthy diet or access to fresh food 4 - very worried	Eating a healthy diet or access to fresh food 5 - major worry/concern	Eating a healthy diet or access to fresh food n/a
A suitable place to live (house or location)	A suitable place to live (house or location) 1 - slight concern	A suitable place to live (house or location) 2 - quite worried	A suitable place to live (house or location) 3 - worried	A suitable place to live (house or location) 4 - very worried	A suitable place to live (house or location) 5 - major worry/concern	A suitable place to live (house or location) n/a

Other (please specify)

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* 6. What are the barriers that stop your from taking part in activities in the community?

Don't know what is going on

Health, mobility or disability

Too costly to attend

Too far to travel

Can't get there

Full-time carer

Time of day or day of week is not suitable

Venue or Location not suitable

No activities of interest

Don't know anyone who goes

Other (please specify)

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* 7. If you could name three things that would make a difference to the lives of elderly people, what would they be?

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* 8. Thank you for taking part - Please provide any other information you wish to share about the support needs for the elderly or vulnerable in Strathglass and Glen Urquhart.

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* 9. Thank you for taking part! If you would like to be informed of the final results of this research please provide your contact details including name, address and email.