Activities of daily living, depression, and life satisfaction of elders using rural day group homes in South Korea
Jeong In Bae, Nam Hyun Cha
Survey
                                                                                      NO. (    )

How are you?
We sincerely thank you for accepting this questionnaire for your valuable time.

   This researcher wants to conduct a study to see the effect of the elderly living alone. In the current generation of the elderly and the elderly living alone, local governments are positively supporting the joint residential system for the elderly in order to ease the emotional problems of depression and loneliness, physical deterioration and physical burden of disease. Therefore, the questionnaire was organized to understand the thoughts of the elderly who are provided with a joint residence system for the elderly living alone and those who are not. There is no right or wrong answer, so I would appreciate it if you could give me an honest response with your usual feelings and actions. 
 Your responses to this questionnaire will be confidential and used only for research purposes and will be discarded after the study is completed. There will be no inconvenience or risk other than the time it takes to complete the questionnaire. Also, you can cancel your participation in the study at any time during the survey. If you agree to participate, please sign below and do not miss any questions and respond honestly and faithfully until the end.
 If you have any difficulties in responding to the survey, please contact the researcher and we will answer.
Once again, thank you for allowing me valuable time.
                                                                                            August 2018

Professor of Nursing at Andong National University: Cha Nam-hyun 
                                       (Contact: 010-9248-1422, Email: yeoreo@hanmail.net)
Professor of Family Environment and welfare Studies at Andong National University: 
                             Bae Jung-in (Contact: 010-4231-1599)	

I have read the above and agree to voluntary participation in this study and survey.

      2018/    Month     Day     Signature:                 (Sign)	

※ The contents below are about general characteristics. Please give a V check where applicable.

1. Gender:  1) Male         2) Female 
2. Age:  1) 65-69 years      2) 70-79 years      3) 80 years or older 
3. Educational background:  1) No                2) Elementary school    
 3) Middle school      4) High school graduates or higher. 
4. Religion:  1) Yes      2) No 
5. Family members living together:  1) Wife     2) Wife+Children     3) Alone

▣ The following is a question to ask about your current feelings and thoughts. Please indicate "✔" information.
Question content	 Yes	No	
1. There are many times when I worry about the future.			
2. I keep thinking about useless things.			
3. I feel lethargic as if I can't do anything.			
4. I've lost a lot of weight lately.			
5. I'm worried that bad things will happen and go crazy.			
6. I usually try to stay at home rather than go outside.			
7. It's not fun to hear funny stories.			
8. I feel that people hate me.			
9. I think I'm to blame for the situation I'm in.			
10. There are more times when I get angry and annoyed than before.			
11. I think I look uglier than before.			
12. I want to cry often.			
13. Whatever I do, I get tired soon.			
14. It's harder than before to start something.			
15. I don't want to go to a gathering.			
16. I'm so happy that I'm alive now.			
17. I think I have a good memory.			
18. I'm happy and happy.			
19. I'm as sober as I used to be.			
20. I don't worry much about my health.			
21. Life is a pleasant thing.			
22. I feel hopeful about the future.			
23. I am as healthy as people my age.			
24. I still enjoy what I used to like.			
25. I wake up pleasantly in the morning.			
26. My judgment is still good.			
27. I am satisfied with my life.			
28. I'm just as good as everyone else.			
29. It goes well with people.			
30. I feel good.			
* Depression referring to developed by Yesavage et al., which was standardized by Jung et al.

▣ The following is a question asking about the status of the last four weeks. Please indicate "✔" information.
No	Question content	Can be alone	Slightly necessity	Many help	Necessity impossibility	Not applicable	
1	Market
Do you not forget the items you planned at the store and buy them without any mistakes in calculating the money?						
2	Use of transportation
Do you use public transportation or drive yourself to your destination without getting lost?						
3	Money management
Do you manage your pocket money, go to the bank, save money, etc.?						
4 	Use of appliances and work in the house
Are you good at handling vacuum cleaners, irons, etc. and keeping your daily chores (e.g., cleaning, watering plants, washing dishes) clean as before?						
5 	Preparing food
Do you plan proper meals, prepare ingredients, and make food as delicious as before?						
6	Use Phone
Do you call me by finding or remembering the phone number you need in your notebook?						
7	Taking medicine
Do you take medicine for time and capacity?						
8 	Recent memories
Do you remember appointments, what happened yesterday, or what you need to deliver to someone else?						
9 	Hobby life
Are you good at carrying out your past hobbies such as religion, reading, baduk, chess, hwatu, walking, hiking, and exercising?						
10	Watching TV
Do you concentrate on watching TV and understand the content?						
11 	Home repairs
Do you do chores such as nailing or putting in light bulbs?						
*Instrumental Activities of Daily Living referring to developed by Kang et al. 

▣ Here are some words about past life, present and future life. If you think the words are so to the elderly themselves, if you don't think so, please answer "yes" or "I don't know" if you don't know.
No	Question content	Yes	No	Don’t know	
1	Looking back on the past life, there is not much to regret				
2	My last life has been successful.				
3	I was more blessed than anyone else.				
4	I tend to make more foolish judgments than my peers.				
5	If I look back on my life, there's not much I've accomplished.				
6	I don't even want to think about my past life because it's hard and painful.				
7	These days, I've been enjoying my life.				
8	As I get older, I feel better than I thought.				
9	These are the most enjoyable times in my life.				
10	I am satisfied with my current lifestyle.				
11	Every day's life is dull and boring.				
12	Everything is annoying and annoying to me these days.				
13	There are more sad things than happy things these days.				
14	There are more and more angry things these days.				
15	I want to live for a long time				
16	There's hope for life ahead.				
17	I think there will be a lot of fun and fun things around me in the future.				
18	There will be little I can do from now on.				
19	I won't be able to do anything worthwhile anymore.				
20	I'd rather die than get older.				
*Life satisfaction referring to developed by Choi’s instrument