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This is a checklist that can assist the seller in deciding which options are best for them. It is important to stress that this form is personal and private – you do not have to show it to anyone. If a couple,use one each.

Should I Move or Stay?

Your Personal Survey

       

Yes

No

Sometimes

Am I mobile? 




Do I need help doing things, such as dressing, walking, bathing?




Can I still work in my garden?




Can I cut the grass or shovel the snow?




Can I go shopping for myself?




Can I look after my own banking and bill payments?




Am I comfortable with living here alone?




Do I have problems going up or down the stairs?




Do I have independent outings?




Am I a prisoner within my own house?




Can I clean this house? (Do I want to?)




Can I do the laundry? (Do I want to?)




Can I still cook for myself? (Do I want to?)




Is this house just too big for me?




Do I truly enjoy my home?




Can I financially carry this house (utilities, taxes, etc.)?




Does the house require expensive repairs?




Is the house in need of modernization?




Has the neighbourhood changed?




Do I have friends or family nearby?




What would be good if I move?

Why should I stay?