Questionnaire 1

Questionnaire 1

Quick risk factor checklist


Instructions: Please tick when the statement applies to the person you are assessing.
LQC - Loneliness Quick Check Yes No
1 The person has recently retired or became unemployed (max two years)
2 The person does not have close family or friends/social network
3 The person does not have an intimate relationship
4 The person has recently become widowed (within last year)
5 The person has mobility issues within their living space
6 The person has lack of access to local transportation (e.g. not driving, not access to buses or someone to take them to places)
7 The person does not have easy access to basic products/services near their home.
8 The person has recently changed surroundings in the last month.
9 The person has mental and/or physical health problems (including visual or hearing impairments, obesity etc).
10 The person does not use the internet.
Socio demographic risk factors Yes No
11 Age: 80+
12 Gender: female.
13 Income: low (i.e. need of financial support)
14 Member of a vulnerable group (i.e. migrants, persons with disability, etc.)
15 Crisis situation in home country (i.e. pandemic, financial, political etc.)