Old Age Well-Being Survey
  • Name
  • Date of birth
  • Gender
  • Occupation
  • Have you started planning for retirement?

  • Please elaborate

  • Are you confident of a comfortable retirement ?

  • How comfortable are you with your savings?
  • Do you have any outstanding loans/payments? Check all that may apply.

  • How have you prepared for retirement? Check all that apply. 

  • How often do you go for health checkups?
  • Do you have any long-term illnesses?

  • Please elaborate

  • Do you have healthcare benefits?

  • Please specify what type?

  • Do you have insurance?

  • Please specify what type?

  • What are your biggest concerns about aging? Please elaborate below. 

  • What could be done to improve your situation? Please elaborate below. 

That's all, folks!

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