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Cooking activities
A form for people with limited mobility
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* Indicates required question
Which age group are you in?
*
Under 20
20-40
40-50
50-60
60+
Which items do you use the most in the kitchen?
*
Cutlery
Chopping knives
Saucers/pans
Kettle
Peelers
Opening items e.g. a can
Other:
Required
Do you have arthritis?
*
Yes
No
Other:
Do you experience problems while cooking
*
Yes
No
If you do experience problems while cooking, what are they?
Gripping cooking utensils
Carrying heavy objects
Unable to apply large amounts of pressure while chopping or cutting.
Too much precision and control is required to make some dishes
Opening jars/sealed containers
Other:
What about these items make them hard to use?
Your answer
Have you ever had to compromise a dish as the steps required were too difficult? If you have please state what happened.
Your answer
If you struggle to grip cooking utensils which item usually causes the most grief?
Your answer
Would you cook more if some of the cooking items were easier to use?
Yes
No
Maybe
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This form was created inside of Latymer Upper School.
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