Wet AMD Caregiver Survey

The Angiogenesis Foundation and AMDF created this survey to help people with AMD get better care and treatment. Please fill out this survey if you are the spouse, friend or family member of someone receiving injections for AMD.

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* 1. Please indicate your current age.

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* 2. What is your relationship to the person you care for with wet AMD? I am their....

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* 3. Does the person you care for receive injections to treat their AMD?

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* 4. How frequently does the person you care for receive injections?

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* 5. Do you take the person you care for to their appointments to receive AMD injections?

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* 6. If you had a questions about AMD and the best care for the person you care for, where would you go to get the information you needed? Check all that apply

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* 7. To the best of your knowledge, has the person you care for ever missed injections?

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* 8. Do you believe getting treated less than recommended by the doctor would negatively impact this person's vision?

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* 9. Which of the following is the biggest challenge you experience in helping care for the person with AMD?

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* 10. Which of the following would you most like to see change about the treatment process for AMD?