Question Title

* 1. How often do you see your spouse or partner in the care home? Tick any one of the boxes that applies


Question Title

* 2. Complete the sentence that best describes your feelings in relation to living apart ? Choose from any of the following emotions:    sad; content; unhappy;
worried; guilty; upset; happy; calm; lonely; relieved of responsibility. You can choose more than one.

Question Title

* 3. How well do you cope with not living with your partner any longer? Tick any one that applies



Question Title

* 4. What has been challenging for you in living apart? Tick as many as you think
apply

Question Title

* 5. Who has been helpful in supporting you with managing and sustaining your relationship with your partner while living apart? What kind of advice have you found helpful?

Question Title

* 6. Have you ever considered both moving into the care home together? Please state yes or no and explain why?

Question Title

* 7. Please state your age

Question Title

* 8. Which ethnic group do you identify with?

Question Title

* 9. This question is about your partner. Please state their age and ethnicity.

Question Title

* 10. Thank you for completing the survey. If you wish to talk to us about participating in the research, please leave us your email address or phone number (we will not share these with anyone else).

T