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.

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* 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.

I agree

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* 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.

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* 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.

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* 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.

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* 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.

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* 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.

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* 7. How do you usually spend your free time?
Please give examples of the things you usually do in your spare time.

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* 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.

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* 9. When you need help with a problem, are there people that you can ask for help?

Yes

I prefer not to ask others for help with my problems.

Please tell us more about your answer.

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* 10. If you want company, or if you want to socialise, do you have people you can call?

Yes

Please tell us more about your answer.

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* 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.

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* 12. If you have any other comments about loneliness and social isolation, please share them here.

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* 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.

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* 14. What is your gender?

Man

Woman

Prefer not to say

Other

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* 15. What is your age?

24 or under

25 to 34

35 to 49

50 to 64

65 to 79

80+

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* 16. Who lives in your household?

I live alone

2 people

3 or 3+

Prefer not to say

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* 17. Describe your accommodation.

House or flat

Independent or sheltered accommodation

Care home

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* 18. Describe your physical health.

Good

Fair

Poor

Prefer not to say

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* 19. Describe your mental health.

Good

Fair

Poor

Prefer not to say

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* 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

Loneliness and social isolation survey

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* 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.

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* 2. How often do you feel that you lack companionship?

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* 3. How often do you feel left out?

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* 4. How often do you feel lonely?

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* 5. How often do you feel isolated from others?

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* 6. How satisfied are you with your life currently?

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* 7. How do you usually spend your free time? Please give examples of the things you usually do in your spare time.

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* 8. Think about the main activities you do every week. How worthwhile do you think these activities are?

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* 9. When you need help with a problem, are there people that you can ask for help?

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* 10. If you want company, or if you want to socialise, do you have people you can call?

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* 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.

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* 12. If you have any other comments about loneliness and social isolation, please share them here.

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* 13. If you have any suggestions for future survey topics, please list them here.

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* 14. What is your gender?

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* 15. What is your age?

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* 16. Who lives in your household?

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* 17. Describe your accommodation.

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* 18. Describe your physical health.

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* 19. Describe your mental health.

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* 20. What is your ethnicity?

* 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.

* 7. How do you usually spend your free time?
Please give examples of the things you usually do in your spare time.

* 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.