Residents’ Survey Re: your mobility/independence and your use of computers Your response to this questionnaire will provide us with vital information as we plan for 2018/19 and beyond. We are committed to supporting your wellbeing, as much as we can, and we are particularly interested in your mobility and continued independence. We are also interested in your use of computers. There is an important link between both, for example, our ability for us to 'signpost' you to useful information and services. We would like to explore this link further. Protecting your Personal InformationWhenever you supply personal information, we are legally bound by the General Data Protection Regulation and Data Protection Act 1998 to ensure that such information is only used for the purpose for which it was requested and also to ensure that the data is held securely.1a. Your name* First Last Email* 1b. Property Address* First line of address 2. Please confirm your gender*FemaleMaleOther3. Please confirm your age category*35-4445-5455-6465-7475-8485-9495-104Mobility/Independence4. Which of the following best describes your mobility?*I am fully mobileI am able to move outside the house but not much beyondI am able to get out of a bed/a chair but do not go out muchI am bed or chair bound5. Which of the following mobility aids do you use?*A lotQuite a lotNot muchNot at allA wheelchairA rollatorA walking trolleyA walking frameA walking stickCar transfer aidSwivelling car seatOtherIf you indicated 'other' at question 5 please let us know which other mobility aid(s) you useHome Adaptations6. Is your home adapted to make tasks and accessibility easier for you?*YesNoI don't know7. Please indicate below the areas of your home that have been adapted.* The kitchen The bathroom Adding a downstairs lavatory To get up and down stairs To access the garden To get out of the house, generally speaking The kitchen: please describe the adaptations and the reasons for them*The bathroom: please describe the adaptations and the reasons for them*Downstairs lavatory: please describe the adaptations and the reasons for them*To get up and down stairs: please describe the adaptations and the reasons for them*To access the garden: please describe the adaptations and the reasons for them*To get out of the house, generally speaking: please describe the adaptations and the reasons for them*8. Do you anticipate your house needing adaptation within the next five years?YesNoI don't know9. Is it difficult for you to look after your garden if you have one?*YesNoI don't knowI don't have a gardenPlease describe your difficulties*10. Which of the following assistive technology devices do you use?*A lotQuite a lotNot muchNot at allCommunication and hearing aidsPressure management (cushions, mattresses etc.)Posture Management (from cushions to something more complex etc.)Moving and handling systems (bath lifts, slings etc.)Telecare (personal alarm systems, home care systems etc.)Therapy equipment (oxygen, rehabilitation equipment etc.)Artificial limbsOtherIf you indicated 'other' at question 10 please state devices used here.Is there anything you would like to add concerning your use of assistive technology devices?If you are not using any of the assistive technology devices mentioned in question 11 above, do you anticipate needing them within the next five years?*YesNoI don't know11. Thinking of your mobility and ability to live independently, is there anything else you would like us to know?12. We would like to find out a little about your OPINION of computers (desktop, laptop, tablet or smartphone). For each question, choose the option that fits your way of thinking. Do not consult - this is about your personal view.*A lotQuite a lotNot muchNot at allI like using computersI'm nervous of using computersI think learning to use a computer well is something worthyI think computers make your life easierUsing a computer allows you to interact with family and friendsUsing a computer helps dealing with paperworkUsing computers can be funIs there anything else you would like to add concerning your OPINION of computers?13. Do you own or have access to a computer?*YesNoI don't knowDesktop computerLaptop computerTabletSmartphone14. Do you have access to the internet at home?*YesNoI don't know15. Would you like to have access to the internet at home?*YesNoI don't know16. How OFTEN on average have you used the internet in the last three months?*Not at allInfrequentlyFrequently17. What did you use the internet for? Please indicate as many categories as apply to you.* E-services such as internet banking, booking tickets, memberships Social Media such as Facebook, Twitter, Instagram, Snapchat, Pinterest etc. Information such as news, health information, timetables Communications such as emails, Skype, FaceTime, WhatsApp Entertainment such as films, music, books Gaming Shopping Other Which social media do you use? Is there anything you would like to add about your experience of those services?*If you indicated 'other' at question 17 please tell us what you used the internet for.*18. In the last 12 months, have you used the following devices:*Yes, without difficultiesYes, with difficultiesNoI don't knowDesktop computerLaptop computerTabletSmartphoneIf you answered 'Yes, with difficulties' for any of the devices, please let us know whyThinking about computers, is there anything else you would like us to know?Thank you for your input - it is much valuedPlease press submit once complete.NameThis field is for validation purposes and should be left unchanged.