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* 1. Have you discussed with each other the possibility of separation through movement into a care home? Please state yes or no. If not, why not?

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* 2. Why do you think a move into a care home might come about? What other options in terms of living arrangements have you explored or thought about yet?

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* 3. Have you sought any advice on this issue? If yes, from whom and what advice?

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* 4. Have family, friends or medical or social care practitioners (if you are in touch with any) hinted at possibility of movement into a care home?

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* 5. If your spouse or partner were to go into a care home how might you feel about moving into the care home with her/him should it be possible to do so? Alternatively, If your care needs require you to move into a care home, how might you feel about your partner moving in with you into the care home?

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* 6. Please state your age.

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* 7. Which ethnic group do you identify with?

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* 8. The next two questions are about your partner. Please state their age.

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* 9. What is your partner's ethnicity? Please tick the box that applies.

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* 10. Thank you for completing the survey. If you wish to learn more about the research findings, or if you would like to attend the dissemination event that will be held next year to explain the findings, please leave your contact details. We will not share these with anyone else.

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