Wet AMD Caregiver Survey 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. OK Question Title * 1. Please indicate your current age. OK Question Title * 2. What is your relationship to the person you care for with wet AMD? I am their.... Spouse or partner Parent Grandparent Aunt or uncle Child Friend Professional Caregiver Other (please specify) OK Question Title * 3. Does the person you care for receive injections to treat their AMD? Yes No I am not sure OK Question Title * 4. How frequently does the person you care for receive injections? About once a month About every other month Less often than every other month (Less than 6 times per year) I don't know OK Question Title * 5. Do you take the person you care for to their appointments to receive AMD injections? Yes No OK Question Title * 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 Physicians or doctors Other healthcare professionals (e.g. nurses, physician assistants, etc.) Materials provided by the doctor or hospital AMD Advocacy/Support Groups Family Friends Online/Internet Television Magazines Newspapers I would consult with the person I care for None of these Other (please specify) OK Question Title * 7. To the best of your knowledge, has the person you care for ever missed injections? Yes No I am not sure/Don't know OK Question Title * 8. Do you believe getting treated less than recommended by the doctor would negatively impact this person's vision? Yes No I am not sure/Don't know OK Question Title * 9. Which of the following is the biggest challenge you experience in helping care for the person with AMD? Negative impact on my own personal life Negative impact on my own professional life/career Emotional Stress Exhaustion Other (please specify) OK Question Title * 10. Which of the following would you most like to see change about the treatment process for AMD? Less travel time to appointments Less waiting time at the doctor's office Lower frequency of appointments Decreased stress or discomfort during the appointments for the person I care for More resources for caregivers of people with AMD Other (please specify) OK DONE