Age UK Wiltshire is surveying older people in Swindon and Wiltshire to better understand people's experiences in later life.  The survey ends on 31 October 2018.

We have designed the survey in partnership with Healthwatch Swindon and have ensured that anyone completing it will remain  anonymous, unless you would like Age UK Wiltshire to contact you, in which case we have provided a section at the end of the survey for you to leave your contact details.

Thank you for taking the time to participate in this survey, your views are vitally important to us.

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* 1. It would be helpful to know what community you live in

Please tell us the first part of your postcode (like SN1 1 or BA14)

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* 2. Please tell us how old you are

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* 3. What is your gender?

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* 4. How would you describe your race/ethnicity?

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* 5. Do you have a long term physical or mental health condition? 

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* 6. Do you have a disability?

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* 7. Would you describe yourself as

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* 8. Have you ever had contact with/support from Age UK? 

Our next few questions are about how things are for you at the moment

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* 9. Do you feel supported by friends, family, and the local community?

Not at all As much as you could hope
i We adjusted the number you entered based on the slider’s scale.

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* 10. How confident do you feel that you are able to stay safe and well at home?  

Not at all As much as you could hope
i We adjusted the number you entered based on the slider’s scale.

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* 11. How confident are you that you can shape the way that you live your life? 

Not at all confident Very confident
i We adjusted the number you entered based on the slider’s scale.

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* 12. All things considered how satisfied are you feeling about life as a whole today?

Very dissatisfied Very satisfied
i We adjusted the number you entered based on the slider’s scale.

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* 13. Would you tell us what you enjoy most about later life

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* 14. What would you like to see/do/experience that would make a difference to you?

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* 15. If you would like more information about Age UK Wiltshire or would like to speak to one of our information and advice team, please provide us with your contact details 

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