Seniors Quality of Life

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Seniors' Issues Questionnaire

The purpose of this project is to answer the question: What policy decisions have or are being made that are affecting the quality of life of Canadian Seniors? Over the course of this project we will be talking to many seniors, service providers, and government staff about these issues and how to improve the quality of life of Canadian seniors.

First, a Little Information About You

You are a

Do you live alone?

Compared to other people your age, would you say your health is (check one):

Please give us the first 3 letters of your postal code so we have an idea of which part of Canada you are from.

Issues of Concern to Seniors

For each issue listed below, indicate whether it is Very Important, Somewhat Important, Not Very Important, or Not At All Important to you. There is space for you to identify other issues that we have not mentioned. Your opinions will influence the direction this project takes over the next two years.

Community Resources Very Important Somewhat Important Not Very Important Not At All
Affordable Housing
Community Services
Education Opportunities
Employment Issues
Service Information
Public Transportation
Recreational Activities
Volunteer Activities
Health Services Very Important Somewhat Important Not Very Important Not At All
Affordable Medication
Community-Based Health Services
Dental Care
Hospital-Based Care
Income Issues Very Important Somewhat Important Not Very Important Not At All
Adequate Income
Pensions and Benefits
Poverty Levels in Society
Personal Well-Being Very Important Somewhat Important Not Very Important Not At All
Creative activities
Exercise and Fitness
Good Nutrition
Information about New Technologies
Learning to Stay Healthy
Maintaining Mental Health
Personal Safety and Crime
Social Activities
Government Response to Seniors Issues Very Important Somewhat Important Not Very Important Not At All
How changes in services are being made
Listening to Seniors' Voices
Providing Subsidies/Discounts

Other Issues

*** NOTE: Before submitting your responses, be sure you have rated the importance of all issues. If you receive a message that you have not answered all questions, use the "back" icon to return to your questionnaire. If you click on the "Fill Out Form" statement, it will re-open the page and will not include the answers you have already given.

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Copyright © 1999 Seniors Quality of Life Project. All rights reserved.
Revised: January 21, 2000.