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Seniors Isolation Survey

1.  

Would any of the following stop you from attending an event or activity?

No accessible transport to activity or event?
No accessible or close toilets at venues?
Cost of transport to the activity or event?
I prefer to attend an event where there will be people I know
I don’t like arriving at events on my own
No seating or uncomfortable seating?
2.  

Do you have a disability that affects your ability to go to activities? 

3.  

Are there any other issues that could stop you from going to activities? 

4.  

Would you be interested in any of the following storytelling/oral history workshops or activities? (choose all that apply)

5.  

Would you be interested in sharing your story (or stories) from your own life with others?

6.  

What other workshops or activities would you like to attend:

7.  

Are there talks/lectures that you might like to attend?

8.  

Would you be interested in finding out more information about a volunteering role in the senior’s project?

9.  

Would you be interested in a mentoring role in the senior’s project? (teaching or supporting others)

10.  

How often would you like to attend activities or events?

11.  

How old are you?

12.  

What is your cultural background?

13.  

What is your gender?

Maximum 255 characters

0/255

15.  

Do you belong to any clubs or activity groups in the community?

16.  

How do you usually find out about events and activities?