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Questionnaire for Friends and Relations
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Questionnaire for Friends and Relations
Introduction
First and foremost, I would like to thank you for taking part in this questionnaire for Market research., This really will be the first step to making a change to the way you & your loved ones are supported out in the community once & for all. Your time, and generosity of sharing is so important will better shape what people really need and that includes you This could be to cafés, pubs, restaurants, supermarkets, high street shops, or any other public places. There are no right or wrong answers.
1 – About You and the Person You Support
1. Who is your loved one to you?
Husband/Wife/Partner
Parent
Brother/Sister
Friend
Other
2. How often do you go out together?
Every day
Every week
Every month
Now and then
3.Where do you usually go? (Tick all that apply)
A stroll in the park
Shopping
Tea, coffee, or a meal out
Visiting friends/family
Cultural places (museums, theatre, cinema)
Religious or community events
Appointments or errands
Other: (See below)
Other
2 – The Good Moments
4. What positive effects do outings have on your loved one? (Tick as many as you like)
Lifts their mood
Helps them feel part of the community
Keeps their mind active
Gives them independence and choice
Encourages physical activity
Helps them see friends and meet new people
Other: (See below)
Other
5. And for you ? (Tick as many as you like)
Shared special memories
Time to connect and laugh together
Feeling that you’re making a difference
Enjoying the outing yourself
A sense of normality
Other: (See below)
Other
3 – The Tougher Moments
6. What can be hard for your loved one?
Confusion or getting lost
Feeling overwhelmed by noise or crowds
Getting tired or uncomfortable
Anxiety or worry
Difficulty communicating
Accessibility problems (stairs, toilets, signs)
Other: (See below)
Other
7. And for you?
Worrying about their safety
Managing unexpected behaviour
Physical tiredness
Finding dementia-friendly places
Feeling judged by others
Other: (See below)
Other
4 – Person-Centred Care
8. Do you feel the places you visit truly put your loved one at the centre?
Always
Often
Sometimes
Rarely
Never
9. Can you describe a time when a place made your loved one feel valued, respected, and comfortable?
10. Can you describe a time when a place made your loved one's needs were not met?
5 – Your Wisdom
11. What would make outings easier or more enjoyable for your loved one?
12. What would help you feel more supported during outings?
13. Any favourite places or hidden gems that are especially welcoming?
14. A memory from an outing you’d like to share – happy, touching, or even a bit funny:
Thank you
Your words will help make community life better for people with dementia and those who care for them – ensuring every trip out is filled with dignity, connection, and care.
