APPENDIX D Older People's Quality of Life Survey

Older People’s Quality of Life

 

Maidstone Borough Council would like to hear about your quality of life. There is no right or wrong answers. Please select the response that best describes you/your views.

Criteria:

ü Aged 65 years and over

ü Live within the Maidstone Borough, please provide postcode ______________

 

Strongly disagree

Disagree

Neither agree or disagree

Agree

Strongly agree

 

1

2

3

4

5

Life overall

I enjoy my life overall

 

 

 

 

 

I am happy much of the time

 

 

 

 

 

I look forward to things

 

 

 

 

 

Life gets me down

 

 

 

 

 

Health

I have a lot of physical energy

 

 

 

 

 

Pain affects my well-being

 

 

 

 

 

My health restricts me looking after myself or my home

 

 

 

 

 

I am healthy enough to get out and about

 

 

 

 

 

Leisure / social activities

My family, friends or neighbours would help me if needed

 

 

 

 

 

I would like more companionship or contact with other people

 

 

 

 

 

I have someone who gives me love and affection

 

 

 

 

 

I’d like more people to enjoy my life with

 

 

 

 

 

I have social or leisure activities/hobbies that I enjoy doing

 

 

 

 

 

I try to stay involved with things

 

 

 

 

 

I do paid or unpaid work or activities that give me a role in life

 

 

 

 

 

Independence

I am healthy enough to have independence

 

 

 

 

 

The cost of things compared to my pension/income restricts my life

 

 

 

 

 

I have a lot of control over the important things in my life

 

 

 

 

 

I have responsibilities to others that restrict my social or leisure activities

 

 

 

 

 

Home and neighbourhood

I feel safe where I live

 

 

 

 

 

The local shops, services and facilities are good overall

 

 

 

 

 

I get pleasure from my home

 

 

 

 

 

I find my neighbourhood friendly