Overall Well-being for Senior Citizens
A set of 12 question help understand what goes in and about our older people (Please fill in behalf of your grandparents)
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How old are you ? *
Was getting older hard for you to accept mentally ? *
What are your hobbies ? *
必填
Which of these mental states recur as you get older ? *
必填
How do you feel when your children stays with you ? *
Does mingling / sharing activities with other senior citizens make you engaged and entertained ? *
On a scale of 1-5, how would you rate your.... ( 1 being the lowest and 5 being the highest ) *
1
2
3
4
5
Financial Independence
Physical Health
Mental Health
Emotional Health
Productivity
Frequency ( How often do you ) *
Daily
Once a week
Twice a week
Once a month
Once a year
Medical Checkups
Physical Exercise
Social Activities
How would you say your day usually goes  ? *
必填
Do you feel like your time could have been spend in much productive / happier way ? *
Do you find your physical health deteriorating as your when mental health goes down ? *
Are there instances where the society has made you feel incompetent / misunderstood you as a part of growing older ? *
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