ASK IF 0 ≠ 1 OR 2, BUT SKIP IF 0 ≠ 1 OR 2 AND AUTOCODE THESE PEOPLE AS CODE 1 HERE Which of the following best describes why you haven’t got a FEPOA for yourself? Please select all that apply. MULTIPLE RESPONSE, RANDOMISE You haven’t heard about it before today................................................................1 You worry about handing control or information over to someone else..2 You haven’t thought to do it.......................................................................................3 Process is too complicated......................................................................................... 4 You’ve been meaning to, but haven’t yet...............................................................5 You’re fit and healthy ....................................................................................................6 You don’t have anyone to appoint............................................................................7 It’s too costly.....................................................................................................................8 You trust that your family or community will look after you.........................9 You’re too young ..........................................................................................................10 Other (please specify).................................................................................................. 11 Don’t know....................................................................................................................... 12 Exclusive ASK IF DECISION-MAKER AND 0 ≠ 1 OR 2 Are you planning on setting up a FEPOA in the future? SINGLE RESPONSE Yes – in the next 5 years................................................................................................1 Yes – at some stage in the future..............................................................................2 No..........................................................................................................................................3 Unsure................................................................................................................................. 4 KNOWLEDGE AND UNDERSTANDING OF EPOAS – GENERAL KNOWLEDGE The following questions aim to understand your level of knowledge about FEPOAs. Please remember, we want to understand your genuine level of understanding, even if that is low. The more accurate these results are, the better the research outcomes will be. If they have been both a principal and a decision-maker show: For the rest of this survey, please answer the questions in relation to your role as [insert based on which survey stream we have assigned them to: ‘a principal’ / ‘an appointed decision-maker’]. Chapter : 9 Appendices 69

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