Professional Documents
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We are a group of students from the Diploma in Psychology and Community Services at the
School of Humanities, Ngee Ann Polytechnic. We are collaborating with Council for Third
Age (C3A) to conduct a study on social imagery of seniors and ageing. We would like to
request for your help to complete this survey which would take about 10 minutes.
All the information provided by you will be treated with the strictest confidentiality. We would
greatly appreciate your truthful responses. You may choose to withdraw from participation in
this survey at any one time. Thank you.
40 – 44 years old
45 – 49 years old
50 – 54 years old
55 – 59 years old
60 – 64 years old
65 – 69 years old
70 – 74 years old
74 – 79 years old
2. On a scale of 1 to 5, please rate your level of agreement with the following words to
describe seniors:
1 2 3 4 5
Factor (Strongly (Disagree) (Neither (Agree) (Strongly
Disagree) Disagree Agree)
or Agree)
a) Old-fashioned x
b) Neat x
c) Fit x
d) Slow x
e) Knowledgeable x
f) Forgetful x
g) Wise x
h) Efficient x
i) Conservative x
j) Ignorant x
k) Intelligent x
l) Resistance to new ideas x
m) Friendly x
n) Long-winded x
o) Caring x
p) Boring x
q) Irritating x
r) Patient x
1
s) Grumpy x
t) Sincere x
u) Lonely x
v) Independent x
w) Sociable x
x) burdensome x
3. Please look at the pictures below and indicate if you think the person is young or old.
Young Young
Old Old
4. On a scale of 1 to 5, please rate your level of agreement with the following statements:
2
1 2 3 4 5
Factor (Strongly (Disagree) (Neither (Agree) (Strongly
Disagree) Disagree Agree)
or Agree)
a) A senior person is a useful x
member of a family.
b) A senior person is capable of x
working productively.
c) Seniors can contribute to x
society.
d) Seniors have valuable x
experiences to share with the
younger generation.
5. What kind of activities do you think are suitable for seniors? (You can select more than 1
option)
Learning IT
6. Have you volunteered at homes for seniors before (eg. senior activity centres, old folks
home)?
Yes
No
(a) If yes, please give 3 adjectives to describe your experience with the seniors:
7. Have you worked with seniors before (eg. part-time jobs with seniors as colleagues or
supervisors)?
Yes
No
(a) If yes, please give 3 adjectives to describe your experience with the seniors:
8. Did your grandparent(s) take care of you when you were growing up?
3
Yes
No
(a) If yes, how often did your grandparent(s) take care of you?
Daily
On weekdays
On weekends
Once a week
Yes
No
12. On average, how much time a day do you spend talking to your grandparent(s) face-to-
face?
Not at all
About 1 hour
13. On average, how much time a week do you communicate with your grandparent(s)
through phone, email, online platforms, etc?
4
14. How often do you see your grandparent(s)?
15. What are the activities that you engage in with your grandparent(s)? (You can select more
than 1 option)
Celebrate festivals or major occasions (eg. New Year) [Please list: _____________________]
Having meals
Watching TV
Shopping
Talking about school, family or friends
No
No
Yes
No
18. Age
16-18 years old
19-21 years old
22-24 years old
19. Gender
5
Male
Female
20. Race
Chinese
Malay
Indian