Loneliness and social isolation survey
In this survey we use the word ‘lonely’ and ‘isolated’ to describe different ways of not feeling close to other people.
You might feel lonely because you don’t have a friend or friends that you would like to spend time with. You might feel lonely because nobody seems to share your hobbies or interests.
You might feel isolated if you feel cut off from other people. This could be because you live alone, or because you don’t spend much time with others.
*
1.
Your consent
Survey responses are anonymous, and may be shared with partners. If you are happy for us to share this survey, please tick the box.
(Required.)
I agree
2.
How often do you feel that you lack companionship?
I hardly ever, or never, feel that I lack companionship.
I sometimes feel that I lack companionship.
I often feel that I lack companionship.
I’m not sure.
Please tell us more about your answer.
3.
How often do you feel left out?
I hardly ever, or never, feel left out.
I sometimes feel left out.
I often feel left out.
I’m not sure.
Please tell us more about your answer.
4.
How often do you feel lonely?
I hardly ever, or never, feel lonely.
I sometimes feel lonely.
I often feel lonely.
I’m not sure.
Please tell us more about your answer.
5.
How often do you feel isolated from others?
I hardly every feel isolated from others.
I sometimes feel isolated from others.
I often feel isolated from others.
I’m not sure.
Please tell us more about your answer.
6.
How satisfied are you with your life currently?
I’m very satisfied.
I’m satisfied.
I’m not satisfied.
I’m not sure.
Please tell us more about your answer.
7.
How do you usually spend your free time?
Please give examples of the things you usually do in your spare time.
8.
Think about the main activities you do every week. How worthwhile do you think these activities are?
They are very worthwhile.
They are fairly worthwhile.
They are not worthwhile.
I'm not sure.
Please tell us more about your answer.
9.
When you need help with a problem, are there people that you can ask for help?
Yes
No
I prefer not to ask others for help with my problems.
Please tell us more about your answer.
10.
If you want company, or if you want to socialise, do you have people you can call?
Yes
No
Please tell us more about your answer.
11.
How often do you go out during the week?
Going out means different things to different people. For example, you might go out for enjoyment, for fitness and exercise, for appointments, for religious observance, to meet friends, to join a class, or to go shopping.
I go out every day.
I go out most days.
I go out once a week.
I never go out.
I’m not sure.
Please tell us more about your answer and the places you go to.
If you don’t go out at all, please tell us what stops you going out.
12.
If you have any other comments about loneliness and social isolation, please share them here.
13.
If you have any suggestions for future survey topics, please list them here.
About you
It would really help us to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary.
14.
What is your gender?
Man
Woman
Prefer not to say
Other
15.
What is your age?
24 or under
25 to 34
35 to 49
50 to 64
65 to 79
80+
16.
Who lives in your household?
I live alone
2 people
3 or 3+
Prefer not to say
17.
Describe your accommodation.
House or flat
Independent or sheltered accommodation
Care home
18.
Describe your physical health.
Good
Fair
Poor
Prefer not to say
19.
Describe your mental health.
Good
Fair
Poor
Prefer not to say
20.
What is your ethnicity?
White British
White Irish
White Other
Asian Indian
Asian Pakistani
Asian British
Asian Other
Black Caribbean
Black African
Black Other
Mixed
Other
Prefer not to say
Current Progress,
0 of 20 answered
