Survey of Technology Needs for Those Providing or Receiving Care

A collaborative Care at Home Innovation project has been set up to understand the needs and gaps in technology for those using and providing care in both professional and family settings.  

In order to do so we would appreciate it if you would take the time to complete this short questionnaire which we will use to develop possible solutions to the greatest needs identified.

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* 1. What is your background?

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* 2. What age range to you fall within?

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* 3. What care services are being provided to you / are you providing now?

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* 4. How familiar are you/ those you care for with using technology such as Smart Phones, Computers and Laptops?

  Not familiar at all Slightly familiar Moderately familiar Very familiar Extremely familiar
Familiarity

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* 5. How often do you / those you care for use technology such as Smart Phones, Computers, and Laptops?

  Never Monthly Weekly Daily
Usage

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* 6. Do you / those you care for own a touch screen device?

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* 7. If  you answered "Yes" to Question 6, do you / those you care for use a touch screen device to support care?

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* 8. Do you / those you care for think that technology could help you / them live a more independent life? For example, reminders on when to take medication, sensors for detection of falls, appointment planning and easier ways to communicate with carers,friends and family.

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* 9. Do you / those you care for think technology could help improve quality of life?

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* 10. If you answered "Yes" to Questions 8 or 9, what ways could technology help?

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* 11. If you are currently using technology in some way to help, what ways are you using it?

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* 12. Do you agree with any of the following statements?

  Yes No
Technology is too expensive
Technology is too complicated
I don't know what technology is available
The technology I need doesn't exist
Technology could not help me with my needs

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* 13. If you answered "Yes" to any of the statements in Question 12, please provide further details.

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* 14. Do you have any other comments about what may be preventing you / those you care for from using more technology to assist with your needs?

Thank you for taking the time to complete this survey.

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