Skip to main content
Suitable / Accessible Homes in RBWM
Page
1
There was an error on your page. Please correct any required fields and submit again.
Go to the first error
*
1.
Question 1.
About me (select all that apply)
Required
- Required.
I have long-term health conditions / learning difficulties / disabilities
Family members in my household have long-term health conditions / learning difficulties or disabilities
Regular visitors to my home have long-term health conditions / learning difficulties or disabilities
*
2.
Question 2.
Age of person(s) with long-term health conditions / learning difficulties / disabilities (select all that apply)
Required
- Required.
under 11
11-18
19-39
40-64
65-84
85+
*
3.
Question 3.
The long-term health conditions, disabilities or learning difficulties are (select all that apply)
Required
- Required.
Dementia
Arthritis
Stroke
Autism Spectrum Disorder
Learning Difficulty / Disability
Cancer
Osteoporosis
Diabetes
Mental Health Condition
COPD
Multiple Sclerosis
Parkinsons
Epilepsy / Seizures
Mobility / Walking / Balance
Eyesight / Vision
Hearing
Spinal Cord Injury / Paraplegia
Stamina / Fatigue
Chronic Pain
Bladder / Bowel / Digestion
Other (please give details):
This is required
Input box for - Other (please give details):
*
4.
Question 4.
Support equipment used or needed (select all that apply)
Required
- Required.
Walking stick / Crutches
Walking frame / Wheeled walker
Wheelchair (used part-time)
Wheelchair (used full-time)
Stairlift / Through floor lift
Mobility scooter
Adapted car
Assistance dog
Oxygen cylinders
Hospital / Adjustable bed
Hoist
Grab rails
Commode
Bath lift
Other (please give details):
This is required
Input box for - Other (please give details):
*
5.
Question 5.
How suitable my home is now
Required
- Required.
It is suitable as we don't need any adaptations
We have all the adaptations we need
We have some adaptations but need more
We need adaptations now
We will need adaptations in the next few years
We will need adaptations in the longer term
My home cannot be adapted and so we need to move
Comments:
This is required
6.
Question 6.
It is important that new accessible homes in the borough are / have (select all that apply)
A location that allows me to get out and about easily
Close to shops / GP etc
Close to bus stops / train station
Accessible parking nearby
Wheelchair accessible
Downstairs / accessible WC
Enough bedrooms (see below)
Space for my support equipment
Outdoor space
Other (please give details):
This is required
Input box for - Other (please give details):
Number of bedrooms I need
This is required
7.
Question 7.
The council ward (or town / village) I live in is
8.
Question 8.
My home is
A house
A bungalow
A maisonette
The annexe of a house
A flat
A mobile home
A shared home
Supported living accommodation
*
9.
Question 9.
My home is owned by
Required
- Required.
Me / my spouse or partner
My parents or other family member
Shared ownership
Social housing provider / council
Private landlord
10.
Question 10.
Current or anticipated future problems with my home (select all that apply)
Now
Future
Getting to the front door
Now
Future
Getting in the front door
Now
Future
Moving around inside my home
Now
Future
Getting into the garden
Now
Future
Keeping my home warm
Now
Future
Storing support equipment
Now
Future
Keeping my home safe and secure
Now
Future
Using light switches / plug sockets
Now
Future
No downstairs cloakroom
Now
Future
Using the existing downstairs cloakroom
Now
Future
Using the bathroom
Now
Future
Using the kitchen
Now
Future
Using the stairs
Now
Future
Getting into / out of bed
Now
Future
Hearing the door bell / smoke alarm
Now
Future
Getting out and about as much as I need / like
Now
Future
Property / garden maintenance
Now
Future
11.
Question 11.
Adaptations to my home that have already been made, we need now or will need in future (select all that apply)
Done
Need Now
Need in Future
Improving the path to the front door
Done
Need Now
Need in Future
Modifying the entrance / widening the front door
Done
Need Now
Need in Future
Widening other doorways
Done
Need Now
Need in Future
Removing internal obstacles (thresholds, flooring)
Done
Need Now
Need in Future
Moving light switches / plug sockets
Done
Need Now
Need in Future
Adding grab rails
Done
Need Now
Need in Future
Adding hoists
Done
Need Now
Need in Future
Storage for support equipment
Done
Need Now
Need in Future
Creating a downstairs cloakroom / WC
Done
Need Now
Need in Future
Modifying the kitchen
Done
Need Now
Need in Future
Adding a stairlift / through floor lift
Done
Need Now
Need in Future
Other changes to the stairs
Done
Need Now
Need in Future
Modifying the bathroom
Done
Need Now
Need in Future
Creating a wet-room / roll-in shower
Done
Need Now
Need in Future
Anything else ?
This is required
12.
Question 12.
Who paid for the adaptations that have already been made ? (select all that apply)
Me / my family
RBWM Council
Disabled Facilities Grant
Other (please give details):
This is required
Input box for - Other (please give details):
13.
Question 13.
Problems outside my home. These may relate to where I live and how hard it is to get to important places (select all that apply)
Parking near my home
Distance to a local shop
Distance to my GP
Distance to my family / support network
Distance to a bus stop / train station
Frequency of buses / trains
Steep land / streets around my home
The condition of pavements around my home
Street lighting around my home
Environmental noise (traffic, trains, nightlife)
Other (please give details):
This is required
Input box for - Other (please give details):
14.
Question 14.
I have asked RBWM council for help (select all that apply)
Never
This year
Last few years
Longer ago
Advice on adapting my home
Never
This year
Last few years
Longer ago
Adapting my home
Never
This year
Last few years
Longer ago
A home that meets my needs
Never
This year
Last few years
Longer ago
15.
Question 15.
RBWM council responded to my request
Yes and I got the help / advice I needed
Yes but I am still waiting for the help / advice
Yes but I didn't get the help / advice I needed
No they haven't responded
16.
Question 16.
I would also like you to know...