Age Friendly
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Appendices: Chapter 2<br />
On Street <strong>Age</strong> <strong>Friendly</strong> Questionnaire<br />
How good is your town for older people?<br />
Hello I am with the <strong>Age</strong> <strong>Friendly</strong> Programme. This programme wants to help improve the quality<br />
of life for people living in towns in Ireland. As part of this we need people to tell us what it is like<br />
to live in and use this town. I have a short questionnaire and I wonder if you would help me by<br />
spending ten minutes telling me your views on the town.<br />
You don’t have to answer all the questions and you may stop at any time. Any information we<br />
collect will be treated confidentially.<br />
Would you be willing to take part?<br />
Yes<br />
No<br />
1. Are you male or female?<br />
Male<br />
(planner complete)<br />
Female<br />
2. Which of the following statements most applies to you?<br />
I live in the town.<br />
I visit and use the services in the town regularly, at least once a month.<br />
I rarely visit the town, or this is my first time here.<br />
***FINISH AND THANK YOU FOR TAKING PART***<br />
3. It is important for us to understand the issues for people of different ages, so I<br />
hope you don’t mind me asking which of the following groups includes your age?<br />
55 to 59 60 to 64 65 to 74 75 to 84 85 +<br />
(Tilda & Census 2011)<br />
165
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