This free survey is powered by
Create a Survey
Surveys
2016
July
L
LPF 1 Services
LPF 1 Services
0%
Exit Survey
Hello, my name is ______________ and
I am doing a quick survey on behalf of the
Lewisham Pensioners Forum.
It will take about 3 minutes.
Your help is voluntary and appreciated.
If you feel uncomfortable answering any question,
you can skip to the next one.
It is very helpful to us to learn your opinions.
Your survey responses will be confidential. Data from this
research will be anonymous,
even if you request email contact. Your answers
otherwise will be anonymised and remain confidential.
You can feed back to the Forum any other
comments you may have: simply send an email to
[email protected]
or phone 020 8690 7869.
Are you fully retired, no longer in paid employment ?
Yes
No
If you are working past your State Pension Age, are you claiming your State Pension?
Yes
No
Do you have caring responsibilities for anyone in your household or a friend ?
Yes
No
Do you receive Carers Allowance?
Yes
No
Not sure
Are you able to use to a basic level any of the following?
Please tick all devices that you feel basically comfortable using
Desktop or laptop PC
Tablet/iPad
Smart phone/iPhone
Smart TV
Digital camera
EMail
Skype
Please indicate which of the following activities you enjoy (Select all that apply)?
Bingo
Cooking
Cribbage/whist
Cycling
Darts
Exercise classes (seated, yoga, tai chi)
Gardening
History studies
Horse racing and betting
Knitting and crochet
Political discussion
Quizzes, Puzzles and games
Reading
Trips, travel and outings
Other
Walking
Are you a member of the any of the following pensioners groups?
(Select all that apply)
Ageing Well in Lewisham
Calabash
Just Older Youth
Elder Peoples Support Project
Lewisham Pensioners Forum
Positive Ageing Council
Retired union members group
Royal British Legion
Seniors
Townswomen's guild
Women's Institute
60+Up
If you
are
not yet a member of the Lewisham Pensioners Forum
but would like news about our FREE public meetings, please leave your contact details
First Name
:
Last Name
:
PostCode
:
Email Address
:
Thank you for helping us with our survey which is aimed at providing better services for the over-55s in Lewisham
LPF Survey 1 Services
Loading...
close
Loading...
Close
qpweb1.questionpro.net