Questionnaire for us to understand your needs!

Grey Power invites you, our valued members to participate in this study by answering a set of questions that addresses issues relating to older people in the community.
Grey Power is an advocacy organization promoting the welfare and well-being of our senior citizens. Our mission is to be the appropriate voice for all New Zealanders over 50. By taking part in this survey, you are helping us to understand the needs of our members better and making YOUR voice heard.  In this issue, we will focus on the following: CONNECTEDNESS (Please add comments if you wish)

Your Name:
Your E-mail:
1. Do you live in a household with a) your spouse, b) other family members? c) alone, d) other?
2. Do you live in a) a retirement village, b) a rest home, c) rented accommodation, d) your own home?
3. Are you active in your community a) belong to a club or organization, b) volunteer your time and expertise, c) attend church, d) none of the above?
4. Do you read a) newspapers, b) watch TV news, c) have access to the internet, d) visit the library?
5. Do you regularly visit or receive visits from family or friends? YES or NO
6. What is the Number One issue that you face on a daily basis?
YOUR AGE GROUP (required as it is relevant to assess the answers) Please select one: a) 65 – 74 b) 75 – 84 c) 85+
Word Verification:

 

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