Please complete the short questionnaire and return it to us by 22 August 2014.

What type of accommodation do you live in now?

I own my own home (outright or with a mortgage)

I rent from the Council or housing association

I rent from a private landlord

I live in a home that I part own (shared ownership)

I live in temporary accommodation provided by the Council

I live in sheltered housing

I live with family in their home

Other

	Please specify:

What type of accommodation would you ideally like to live in when you are aged 65 (or now if already 65)

In my current home

In my own flat (rented) within a building with other people of a similar age

In my own flat (purchased) within a building with other people of a similar age

In my own flat with a caretaker on site (this is known as sheltered housing)

In my own flat with care staff on site for help with medication, personal care etc. (this is known as extra care housing)

With family in their home (other than a partner)

Don't know

Something else

	Please specify:

What type of accommodation would you ideally like to live in when you are aged 85 (or now if already 85)

In my current home

In my own flat (rented) within a building with other people of a similar age

In my own flat (purchased) within a building with other people of a similar age

In my own flat with a caretaker on site (this is known as sheltered housing)

In my own flat with care staff on site for help with medication, personal care etc. (this is known as extra care housing)

With family in their home (other than a partner)

Don't know

Something else

	Please specify:

Ideally, where do you want to live in the future when you are aged 65 (or now if already 65)?

In Kensington and Chelsea

In a neighbouring borough

In another part of London

In another part of the UK

Overseas

Don't know

Ideally, where do you want to live in the future when you are aged 85 (or now if already 85)?

In Kensington and Chelsea

In a neighbouring borough

In another part of London

In another part of the UK

Overseas

Don't know

Imagine that you lived in a housing development specifically for older people (aged 65 and over). Depending on how old you are, this could mean thinking ahead to the future. How important do you think these facilities would be to you?
	Very important	Fairly important	Not very important	Not at all important
Large communal areas for residents	Large communal areas for residents Very important	Large communal areas for residents Fairly important	Large communal areas for residents Not very important	Large communal areas for residents Not at all important

Small communal lounges	Small communal lounges Very important	Small communal lounges Fairly important	Small communal lounges Not very important	Small communal lounges Not at all important

Communal garden	Communal garden Very important	Communal garden Fairly important	Communal garden Not very important	Communal garden Not at all important

Private outdoor space (for example, a balcony)	Private outdoor space (for example, a balcony) Very important	Private outdoor space (for example, a balcony) Fairly important	Private outdoor space (for example, a balcony) Not very important	Private outdoor space (for example, a balcony) Not at all important

Guest room (so visitors could stay overnight)	Guest room (so visitors could stay overnight) Very important	Guest room (so visitors could stay overnight) Fairly important	Guest room (so visitors could stay overnight) Not very important	Guest room (so visitors could stay overnight) Not at all important

Cafe	Cafe Very important	Cafe Fairly important	Cafe Not very important	Cafe Not at all important

Caretaker on site	Caretaker on site Very important	Caretaker on site Fairly important	Caretaker on site Not very important	Caretaker on site Not at all important

Care staff on site	Care staff on site Very important	Care staff on site Fairly important	Care staff on site Not very important	Care staff on site Not at all important

Technology to keep you safe (for example, alarm pendants)	Technology to keep you safe (for example, alarm pendants) Very important	Technology to keep you safe (for example, alarm pendants) Fairly important	Technology to keep you safe (for example, alarm pendants) Not very important	Technology to keep you safe (for example, alarm pendants) Not at all important

Activities organised by residents (for example, outings, exercise classes, crafts, music, talks)	Activities organised by residents (for example, outings, exercise classes, crafts, music, talks) Very important	Activities organised by residents (for example, outings, exercise classes, crafts, music, talks) Fairly important	Activities organised by residents (for example, outings, exercise classes, crafts, music, talks) Not very important	Activities organised by residents (for example, outings, exercise classes, crafts, music, talks) Not at all important

Activities (as above) organised by staff	Activities (as above) organised by staff Very important	Activities (as above) organised by staff Fairly important	Activities (as above) organised by staff Not very important	Activities (as above) organised by staff Not at all important

Internet/wifi access	Internet/wifi access Very important	Internet/wifi access Fairly important	Internet/wifi access Not very important	Internet/wifi access Not at all important

Close to transport links	Close to transport links Very important	Close to transport links Fairly important	Close to transport links Not very important	Close to transport links Not at all important

Close to community and leisure facilities (for example, shops, cafes, libraries)	Close to community and leisure facilities (for example, shops, cafes, libraries) Very important	Close to community and leisure facilities (for example, shops, cafes, libraries) Fairly important	Close to community and leisure facilities (for example, shops, cafes, libraries) Not very important	Close to community and leisure facilities (for example, shops, cafes, libraries) Not at all important

Something else	Something else Very important	Something else Fairly important	Something else Not very important	Something else Not at all important

	Please specify:

	Do you have any other comments you would like to make about where you would like to live in retirement or about housing for older people generally?

We are planning to hold some discussion meetings for small groups of people who have completed the questionnaire. These will take place in late September 2014. They will be an opportunity to discuss your answers in more detail. In return for your time, you will receive a £25 gift voucher. Would you be interested?

Yes

	If yes, please provide contact details:
	Your name:

	Telephone number:

	Email address:

Please note we may have more volunteers than spaces and therefore will only contact you if you have been successfully selected.

About you

The following questions will help us to make sure that responses are received from a representative selection of residents and to ensure that we are meeting the needs of everyone. The information that you give us will be treated in the strictest confidence.

Are you male or female?

Male

Female

Are you...

...single?

...living with a spouse or partner?

...widowed?

...divorced?

Do you have any long-term illness, health problem or disability that limits your daily activities?

Yes

If yes, please tick all that apply

Mobility impairment

Hearing impairment

Visual impairment

Learning difficulty

Mental health issue

Other e.g. hidden impairment such as diabetes or epilepsy

Older people's housingWhere would you like to live as you get older?

Please complete the short questionnaire and return it to us by 22 August 2014.

About you

Older people's housing
Where would you like to live as you get older?