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Hello, my name is Madeleine Pointing I am a year 12 student currently studying the subject Community & Family studies at Marist sisters College.
This questionnaire I am sending is to gather information and opinions of people of this group in society 'The aged' for my Independent Research Project. This questionnaire will also remain anonymous to allow you as the responder to remain unknown for expression of your opinions.

Your participation for this questionnaire is voluntary but if you have time please assist me in filling out a questionnaire it will only take you a few minutes and it would be greatly appreciated.
If there is any problems with questions in my questionnaire you may contact me at this email address to confirm your troubles:-

[email protected]

Thank you for your time :)
 
 
 
 
* How old are you?
 
60-65
 
65-70
 
70-75
 
80-85
 
Older
 
 
 
* What is your gender?
 
Male
 
Female
 
 
 
* What is your Marital Status?
 
Married
 
Divorced
 
Widowed
 
Never Married
 
Other
 
 
 
 
* What is your current location of Residence? (Please list suburb)
   
 
 
 
* What type of housing do you live in? (please specify if other)
 
House
 
Apartment
 
Town-house
 
Housing village
 
Other
 
 
 
 
* Where did you have previous employment? (Specify and include length of employment)
   
 
 
 
Do you have any current disabilities or illness? (List below if so)
   
 
 
 
Do you have any pre-existing medical conditions? (List below)
   
 
 
 
If yes to previous question, how often do you see a medical practitioner to manage your condition? (Suggest below)
   
 
 
 
Do you need assistance with daily activities? ie; Walking, personal hygiene, transportation etc. (Please list below, Explain)
   
 
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