Questionaire
Questionaire
Greetings!
I am Jessie F. Patricio, a 5th year Bachelor of Science in Architecture student at Cagayan State
University (Carig Campus). As part of the requirements of our subject in Architectural Design 9:
Thesis Writing, I am currently working on a thesis project entitled, "A Proposed Residential
Elderly-Care Complex Through Barrier-Free Design In Tuguegarao City, Cagayan".
The proposed project envisions a facility that offers medical and psychosocial care, and
rehabilitative services, as well as spiritual support and companionship – that is, wellbeing-related
needs they desire in their twilight years. This seeks to provide a range of support and services
tailored to meet the needs of elderly clients, particularly those who may require assistance due to
health issues, mobility limitations, and other impairments.
In this regard, I humbly ask for a few minutes of your precious time to answer the following
questions as best as possible. Please remember that this survey is voluntary, and you can
withdraw your participation at any time.
All information obtained will be kept confidential and used for the research study's purposes
only. Thus, may I also ask for your best inputs and insights that are helpful and inspire
incremental progression and excellent accomplishmrnt of this study.
Qualifications:
firstly, a resident of Tuguegarao City, Cagayan;
secondly, individuals aged 18 and above; and
thirdly, is living with an elderly person or senior citizen; or
has a parent(s) who is an elderly person; or
is a senior citizen; or
had priorly lived and, more especially, cared for or attended to the needs of at
least one elderly individual for a considerable length of time; or
a social worker, nursing aide or other equivalents thereof that involves mainly
dealing with elderly-care, or done such occupational or household experience
(long-term)
Your time and cooperation in answering this survey will be highly appreciated. God bless you!
PART 1. DEMOGRAPHIC INFORMATION
Name:
___________________________________
Age:
o 18–29 years old
o 30–39 years old
o 40–49 years old
o 50–59 years old
o 60 years old and above
Sex:
o Male
o Female
o Other: (optional)
o I prefer not to say
Address:
__________________________________________________________________________
Contact No.:(optional)
__________________________________________________________________________
Note: if you are a senior citizen, please proceed to Part 3
2. How is elderly care currently being managed in your household or place of residence?
o By a family member
o By a hired caregiver
o Does not need care
o Other: ………………………………
3. Do you feel that the current care arrangements for your elderly family member(s) or loved
ones are enough?
o Yes
o No
4. What are the most common barriers you face or observe around you in your current living
environment regarding elderly-care matters? (Check all that apply)
o Stairs
o Narrow hallways
o Inaccessible bathrooms
o Poor lighting
o Other ………………………………
Any suggestions about improvements to address such or other barriers not listed above?
PART 3. NEED FOR AN ELDERLY CARE CENTER
1. Would you consider using the services of an elderly care center for yourself or your
elderly family member(s)?
o a. Yes
o b. No
o c. Maybe
What factors are or will be most influential in your decision to consider or not consider a
residential elderly care complex for yourself or for your senior relative(s). (Rank from 1
[least influential] to 5 [most influential])
______Quality of care
______Affordability
______Proximity to family
______Range of services
______Safety and Security
______Facilities and amenities
2a. If you are considering an elderly care center at present, what type of care would you be
most interested in? (Please check all that applies)
o Full-time residential care
o Daycare or partial-day care
o Temporary care (respite care)
o Rehabilitation and therapy services
In general, what features not listed above or more specific ones would you desire for an
elderly care facility, if any?
3. How much are you willing to pay to rent out these services to a center without residing
with them?
o Less than Php 6,000 per month
o Php 12,000 to 18,000 per month
o Php 18,000 to 24,000 per month
o Php 24,000 to Php 32,000 per month
o More than Php 32,000 per month
4. Would you be interested in government-subsidized or community-supported elderly care
services?
o Yes
o No
o Maybe
3. What type of spaces would you like to include for recreation and entertainment? (Check
all that apply)
o Library or reading rooms
o Art and craft studios
o Music or performance spaces
o Games rooms (e.g., chess, cards, billiards)
o Other…
Which type of outdoor spaces do you think are essential for a residential elderly care
complex? (Check all that apply)
o Gardens for walking or relaxing
o Patios and communal space for group gatherings
o Walking paths with benches
o Open-air exercise areas
o Vegetable or flower gardens for residents to maintain
4. How important is it to have designated family visitation spaces within the facility?
__________________________________________________________________