FY 2023 Grandparent Raising Grandchildren Program Survey

Relationship to Child(ren) and Satisfaction of Services

Thank you for participating in this survey. Information collected is strictly confidential and reports generated do not identify individual participant's responses. We use this data to gain insights about your role as a grandparent raising grandchild(ren) [or other relative as parent] and to strengthen our delivery of services to you as the consumer.

Question Title

* 1. What is your relationship to the child(ren)? Are you...

Grandmother

Grandfather

Aunt

Uncle

Brother

Sister

Niece

Nephew

Godparent

Family Friend

Other (please specify)

Question Title

* 2. How long have you been raising your grandchild(ren) [or other relative's child]?

Question Title

* 3. Have you received the following services from your Caregiver Advisor as a grandparent raising grandchild(ren) [or other relative as parent]?

	Yes	No	N/A
Information and assistance on legal decision making authority (power of attorney, guardianship, adoption)?	Information and assistance on legal decision making authority (power of attorney, guardianship, adoption)? Yes	Information and assistance on legal decision making authority (power of attorney, guardianship, adoption)? No	Information and assistance on legal decision making authority (power of attorney, guardianship, adoption)? N/A
Information and assistance on financial assistance programs (child only grant/TANF, Medicaid, SNAP, other)?	Information and assistance on financial assistance programs (child only grant/TANF, Medicaid, SNAP, other)? Yes	Information and assistance on financial assistance programs (child only grant/TANF, Medicaid, SNAP, other)? No	Information and assistance on financial assistance programs (child only grant/TANF, Medicaid, SNAP, other)? N/A
Information and assistance on counseling and mental health services for child(ren) with difficult or challenging behaviors?	Information and assistance on counseling and mental health services for child(ren) with difficult or challenging behaviors? Yes	Information and assistance on counseling and mental health services for child(ren) with difficult or challenging behaviors? No	Information and assistance on counseling and mental health services for child(ren) with difficult or challenging behaviors? N/A
Information and assistance on school enrollment and/or special education (birth to 3/IFSP, early childhood or K-12/IEP).	Information and assistance on school enrollment and/or special education (birth to 3/IFSP, early childhood or K-12/IEP). Yes	Information and assistance on school enrollment and/or special education (birth to 3/IFSP, early childhood or K-12/IEP). No	Information and assistance on school enrollment and/or special education (birth to 3/IFSP, early childhood or K-12/IEP). N/A
Supportive counseling as Grandparent Raising Grandchildren (or Other Relative as Parent) from Caregiver Advisor and/or referral to counseling services outside the agency?	Supportive counseling as Grandparent Raising Grandchildren (or Other Relative as Parent) from Caregiver Advisor and/or referral to counseling services outside the agency? Yes	Supportive counseling as Grandparent Raising Grandchildren (or Other Relative as Parent) from Caregiver Advisor and/or referral to counseling services outside the agency? No	Supportive counseling as Grandparent Raising Grandchildren (or Other Relative as Parent) from Caregiver Advisor and/or referral to counseling services outside the agency? N/A
Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) support group meeting?	Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) support group meeting? Yes	Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) support group meeting? No	Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) support group meeting? N/A
Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) training and education event?	Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) training and education event? Yes	Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) training and education event? No	Participated in a Grandparent Raising Grandchildren (or Other Relative as Parent) training and education event? N/A

Question Title

* 4. To what extent did the following services offered by your Caregiver Advisor help you as a grandparent raising grandchild(ren) [or other relative as parent]?

	They helped a lot	They helped a little	They didn't help	They made things worse	I didn't receive this service
Receiving one-on-one consultation, assessment, and/or supportive counseling	Receiving one-on-one consultation, assessment, and/or supportive counseling They helped a lot	Receiving one-on-one consultation, assessment, and/or supportive counseling They helped a little	Receiving one-on-one consultation, assessment, and/or supportive counseling They didn't help	Receiving one-on-one consultation, assessment, and/or supportive counseling They made things worse	Receiving one-on-one consultation, assessment, and/or supportive counseling I didn't receive this service
Receiving information or assistance to services for grandparents raising grandchildren (or other relative as parent)	Receiving information or assistance to services for grandparents raising grandchildren (or other relative as parent) They helped a lot	Receiving information or assistance to services for grandparents raising grandchildren (or other relative as parent) They helped a little	Receiving information or assistance to services for grandparents raising grandchildren (or other relative as parent) They didn't help	Receiving information or assistance to services for grandparents raising grandchildren (or other relative as parent) They made things worse	Receiving information or assistance to services for grandparents raising grandchildren (or other relative as parent) I didn't receive this service
Attending grandparents raising grandchildren (or other relative as parent) support group	Attending grandparents raising grandchildren (or other relative as parent) support group They helped a lot	Attending grandparents raising grandchildren (or other relative as parent) support group They helped a little	Attending grandparents raising grandchildren (or other relative as parent) support group They didn't help	Attending grandparents raising grandchildren (or other relative as parent) support group They made things worse	Attending grandparents raising grandchildren (or other relative as parent) support group I didn't receive this service
Attending grandparents raising grandchildren (or other relative as parent) training and education program	Attending grandparents raising grandchildren (or other relative as parent) training and education program They helped a lot	Attending grandparents raising grandchildren (or other relative as parent) training and education program They helped a little	Attending grandparents raising grandchildren (or other relative as parent) training and education program They didn't help	Attending grandparents raising grandchildren (or other relative as parent) training and education program They made things worse	Attending grandparents raising grandchildren (or other relative as parent) training and education program I didn't receive this service

Question Title

* 5. Have these services offered to you as a grandparent raising grandchildren [or other relative as parent] enabled you to provide better care for child(ren) than would have been possible without these services?

Yes, definitely

Yes, I think so

No, I don't think so

No, definitely not

Don't know

Question Title

* 6. As a result of the caregiver support services, do you:

	Yes	No	Refused	Don't Know
Have more time for personal activities	Have more time for personal activities Yes	Have more time for personal activities No	Have more time for personal activities Refused	Have more time for personal activities Don't Know
Feel less stress	Feel less stress Yes	Feel less stress No	Feel less stress Refused	Feel less stress Don't Know
Have a clearer understanding of how to get the services you need	Have a clearer understanding of how to get the services you need Yes	Have a clearer understanding of how to get the services you need No	Have a clearer understanding of how to get the services you need Refused	Have a clearer understanding of how to get the services you need Don't Know
Know more about child's mental or physical condition	Know more about child's mental or physical condition Yes	Know more about child's mental or physical condition No	Know more about child's mental or physical condition Refused	Know more about child's mental or physical condition Don't Know
Feel more confident in providing care to child	Feel more confident in providing care to child Yes	Feel more confident in providing care to child No	Feel more confident in providing care to child Refused	Feel more confident in providing care to child Don't Know

Comments

Question Title

* 7. What topics do you want to learn more about as a grandparent raising grandchild(ren) [or other relative as parent]?

Financial Assistance (i.e., cash assistance, clothing, school supplies)

Legal Concerns (i.e., guardianship, visitation)

Educational Concerns (i.e., enrollment, special education, tutors)

Nutrition (i.e., special diets, food allergies)

Child Care Programs/Assistance

After School/Recreational Programs

Dealing with Trauma (i.e., abuse)

Dealing with Substance Abuse

Dealing with Mental Illness

Grief/Bereavement

Support Groups

Peer Pressure/Bullying

Technology and Social Media

Other (please specify)

None of the above

Question Title

* 8. Overall, how would you rate the caregiver support services that have been provided?

Excellent

Very good

Good

Fair

Poor

Comment: