All the time Some of the time None of the time Most of the time Some of the time. All the time Most of the time Some of the time Some of the time None of the time. 12(a) Does your health now limit you in these activities. Tick ONE circle on each line) Yes, very limited Yes, somewhat limited No, not at all limited.
Sometimes or a moderate amount of the time Some or a little of the .. time All the time. If you currently consider yourself a regular smoker, how much do you think you would smoke on an average day? Please mark ONE circle on each line) Never 3 or 4 times. a) used a service at a hospital, or was admitted to a hospital (b) Was admitted to hospital for one night or more (c) Went to a hospital's emergency department as a patient (d) Another health professional except consult the above (d) a-c).
In the past six months, have you slipped or tripped, but managed to stop the fall (eg, by grabbing furniture for support, or regaining your balance)?. I miss the pleasure of the company of others I find my circle of friends and acquaintances very limited There are many people I can completely trust There are enough people I feel close to I miss having people around I often feel rejected I can I call my friends whenever I need them. P a g e | 8 29) How often do you talk/text on the phone with any of the following people?
Tick ONE circle on each line) Daily Weekly Not at all Not at all
ACTIVITIES
We would like to know whether you participate in the following activities. Please indicate below how often you have
Please answer the following questions about yourself, be as honest as you can, and try not to let your response to one question influence your
For each of the following statements and/or questions, please tick the box that you feel is most appropriate in describing you
If you have given your time for any of the groups or organisations listed below, please indicate how often
How often do you take part in sports or activities that are
YOUR WORK AND RETIREMENT
STATUS
- Which of the following best describes your current employment?
- Which of the following best describes
- How long have you worked for your current employer?
- For those currently employed, please indicate in the first column the importance of the following work practices, and in the second column whether your employer
- Which of the following best describes your current work?
- At what age do you intend to fully retire?
- How much have you planned financially for retirement?
- Please indicate how much you agree or disagree with the following statements
- Please indicate how much you agree or disagree with the following statements
41(a) Have you sought any of the following work arrangements for a sustained period of time. Please tick ALL that apply to you) Yes. Child care needs Care needs of relatives, friends or neighbors Work demands Make my life easier to get things done, be more efficient Have more free time Pursue a hobby Spend more time with my family/family. It is the nature of my work/type of work Health problems To better accommodate travel arrangements To facilitate paid work Other (Please specify).
For those who are currently employed, please indicate in the first column the importance of the following work practices, and in the second column if your employer practices these work practices, and in the second column if your employer offers them. Please tick ONE circle in the first set and any in the last column that apply). Flexible working hours Reduced working hours Job sharing Unpaid time off Work from home regularly Reduced workload pressures and job demands Training to update or learn new skills Access to new technology Same opportunities as older employees young Challenging or meaningful task or tasks. duty Recognition of experience, knowledge, skills and expertise Financial incentives to continue employment Early retirement encouraged.
I feel quite satisfied with my current job Work should only be a small part of one's life I am satisfied with the progress I have made towards my overall career goals I find my job very stressful My job makes it difficult to be the kind of spouse or parent I would like to be. I can financially afford to retire I continue to work because I cannot afford to retire I am concerned about the standard of living. I will have when I retire. I am concerned about having enough income when I retire. I am happy with what my family/whānau income will be when I retire.
Employers should make a special effort to accommodate the particular difficulties carers experience in balancing their work and family/wānau life. It is not the employer's responsibility to help people balance their balance.
Please answer the next questions if you are currently retired,
If you are currently not retired please go straight to Q 50
At what age did you retire?
YOUR FINANCIAL WELLBEING
Next we ask about your financial circumstances, please be assured that your answers to these questions are completely confidential
YOUR TOTAL PERSONAL INCOME
- Do you currently receive New Zealand Superannuation or a Veteran’s Pension?
- How many people inside and beyond your household, excluding yourself, are dependent on you for their financial support?
- Below are statements that people have made about their standard of living. Please indicate how true these statements are for you
- For the following questions, please indicate whether or not you have (or have access to) the item
- For the following questions, please indicate whether or not you do the activity
Please indicate the extent to which these statements are true for you. rate how true these statements are for you. I can afford to go to a medical specialist if necessary I can visit people whenever I want I can give to others as much as I want I can do all the things I enjoy I expect a future without money problems My choices become limited by money. For the following questions, indicate whether or not you have the item: the item:.
Telephone Washing machine At least two pairs of good shoes Appropriate clothes for important or special occasions Personal computer Home contents insurance Sufficient room for family/whānau to stay overnight. Keep the main rooms of your home sufficiently warm Give gifts to family/whānau or friends on birthdays, Christmas or other special occasions Visit the hairdresser at least once every three months Take a holiday away from home for at least a week every year Keep holiday overseas at least every three years Have a night out for entertainment or visit at least once a fortnight Have family/whānau or friends over for a meal at least once every few months. Go without or cut back on fresh fruit and vegetables to help reduce costs Keep wearing clothes that were worn out because you couldn't afford a replacement Put off buying clothes as long as possible to help reduce costs . Stayed in bed longer to save on heating costs Delayed or postponed doctor visits to help reduce costs NOT picked up a prescription to help keep costs down Spend less time on hobbies than you'd like to help keep costs down keeping costs down. Done without or cut back on trips to the shops or other local places to help keep costs down.
The following questions are about your material standard of living – the things money can buy.
The following questions are about your material standard of living – the things that money can buy. Your material standard of living does NOT
You should NOT take your health into account
YOUR PERSONAL SITUATION
- Are you
- Which one of these statements is true about you?
- What is your highest educational qualification?
- Please tick as many circles as you need to show all the people who live in the same household as you
- Please answer the following questions about the ethnic group you said you most identify with in question 62(b)
Page | 22 62(a) Indicate below which ethnic group or groups you belong to:. Please check ALL applicable ethnic groups). I spent some time trying to learn more about my ethnic group, such as history, tradition and customs. I have a strong sense of belonging to my ethnic group. I understand pretty well what belonging to an ethnic group means to me. I often things that will help me better understand my ethnic background. I often talked to other people to learn more about my ethnic group. I feel a strong attachment to my ethnic group. Others see me as a cultural resource 64) When were you born?
If you have Māori ancestry, please complete Question 65
If you DO NOT have Māori ancestry, please turn to Question 66
- Neighbourhood safety
- Can you see yourself needing to move to a new place of residence sometime in the future?
- Have you considered moving into a retirement village/complex in the future?
- How much would the following things discourage you from wanting to move into a retirement village?
- How much would the following things encourage you to want to move into a retirement village?
- Imagine at some time in the future you were to need nursing, company or other forms of assistance, how would you pay for it?
Have you ever been to a marae; and if so - how often during the last 12 months. In terms of your involvement with your whānau, would you say your whānau plays. A big part in your life A small part in your life A very small part in your life. e).
Do you have a financial interest in Māori land (ie as an owner, part/potential owner or beneficiary). f). Have you performed any of the following roles for or at your marae in the last 12 months? In the last 12 months, have you been in a situation in your neighborhood where your safety was threatened by someone else?
In the last 12 months, have you been in a situation at home where your safety was threatened by someone else? Yes, because there is public transport but the timetable is inadequate My medical condition/disability makes it difficult to walk or catch public transport. No Because I can use public transport Someone else is driving me Other reason (specify):. b) What other types of places do you have trouble getting to.
House, townhouse, unit or apartment joined to one or more other houses, townhouses, units or apartments Unit, cottage or apartment in the retirement village (license to occupy). Can you see yourself needing to move to a new residence sometime in the future? If you intend to make a move in the foreseeable future, what is/are your reason(s). Please circle ONE on each line) Yes No
Move to a smaller house – no more need for a big house, less work and maintenance Move location Move to live with family/whānau Less to free up money to live on Less to free up money to have children/ helping mokopuna, or other family/whānau Move because of actual or expected health or disability Move in with other family/whānau (eg child(ren)) Move closer to child(ren) Move closer to other family/whānau Move closer to health/support services Return to family/whānau countries Move. to warmer climate Move to smaller house, same geographical location Move to smaller house, different geographical location (Please specify where). How much would the following discourage you from wanting to move into a retirement home? Loss of independence Lack of privacy Won't want to move away from my friends, or family/whānau Don't want to lose my current neighbors Don't want to leave the family/whānau home Will have to change my doctor Seems like it's only for older people Too expensive, too many fees and charges Limited space, garden Want something to bequeath my family/whānau Lack of respect for elders in some institutions.
How much would the following things encourage you to want to move into a retirement home? From savings, pension or insurance Sell or rent the family/whānau home to get the money Haven't considered this issue Take out a loan for my home from a bank or other lending institution Ask my children to pay for it Use government services that I have enough money to pay for this myself Other (Please explain).
The next questions are about caring
How old were you when you first provided care for someone with a long term illness, disability or frailty?
Has the PERSON YOU CARE(D) FOR been admitted to hospital in the LAST 12 MONTHS?
Have you cared for someone with a long-term illness, disability or frailty within the last twelve months?
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