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We are currently surveying the market for the launch of a new product called WatchU, a bracelet device that, paired with a twin bracelet or a Smartphone application, allows the user to monitor and keep in touch with their loved ones and dependents (elders, children, disabled individuals). Your answers to this questionnaire will help us in serving you better and will only be used for this purpose.The questionnaire takes between 10 and 15 minutes to complete. Thank you for your time and help.
 
 
 
Are you...
 
Employed full-time
 
employed part-time
 
Retired
 
A student full time
 
A house parent not currently working
 
 
 
What is your age? years old
   
 
 
 
Do you have at least one elder relative or friend that you’re responsible for?
 
Yes
 
No
 
 
 
How old is that person?
   years old
 
 
 
Where / with whom does this person live?
 
 
Alone in his/ her own house/apartment
 
With a friend, spouse or relative in his / her own house/apartment
 
In a retirement home/elderly center
 
With you
 
 
 
Does this person require special care?
 
Yes, most of the time
 
Yes, sometimes
 
Yes, rarely
 
Never
 
Not right now, but in the near future, he / she might
 
 
 
How many hours per day, on average, is this person alone?
   
 
 
 
How many hours per week, on average, do you spend with that person?
   
 
 
 
Are you receiving the help of an entrusted third party (such as a nurse or a CLSC employee) in taking care of your elder relative or friend?
 
Yes
 
Yes, but the services are not sufficient
 
No
 
No, but I am on a list to receive said help
 
No, but I wish I did
 
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