关于活力老人群体日常生活与需求的调查

问卷说明

本研究已通过西交利物浦大学研究伦理委员会审查批准。本次调查采用完全匿名方式开展，所有数据仅用于学术研究，严格保密，不会向任何第三方泄露您的个人信息。您参与本调查完全自愿，可在任何阶段无条件退出，无需说明理由，且不会因此受到任何不利影响。继续填写本问卷即表示您已阅读并同意以上内容。

Participant Information

This study has been approved by the Research Ethics Committee of Xi’an Jiaotong-Liverpool University. All responses will be collected anonymously and used for academic research purposes only. Your personal information will be kept strictly confidential and will not be disclosed to any third party. Participation is entirely voluntary, and you may withdraw at any time without giving a reason and without any negative consequences. By continuing to complete this questionnaire, you confirm that you have read and agree to the above.

1. 您的年龄属于以下哪一组?Which age group do you belong to?
2. 您目前的居住情况是?/What is your current living arrangement?
3. 您平时外出、买东西、散步或参加活动时，一般情况如何?/How would you describe your general ability to go out, shop, take walks, or participate in activities in daily life?
4. 您目前是否有长期需要关注的身体健康问题?/Do you have any chronic health conditions that require long-term management?
5. 您平时会不会有一些记忆上的小困难?例如忘记事情、忘记带东西、忘记吃药或错过安排等。/Do you experience mild memory difficulties in daily life, such as forgetting things, forgetting to bring items, forgetting to take medication, or missing appointments?
6. 在日常生活中，您是否需要别人提供帮助?/Do you require assistance from others in activities of daily living?
7. 如果您需要帮助，通常是谁帮助您?/If you require assistance, who typically provides it to you? (Multiple choices allowed)
8. 您平时一天里最常做哪些事情?/What are your most common daily activities? (Multiple choices allowed)
9. 在这些日常活动中，您最常遇到哪些问题?/What difficulties do you most frequently encounter in these daily activities? (Multiple choices allowed)
10. 如果未来有相关产品或服务，您最希望它帮助您解决哪一类问题?/If relevant products or services become available in the future, which type of support would you most prefer them to provide?
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