FY25 Family Caregiver Support Program Satisfaction Survey

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* 1. Who is the provider of your caregiver services?

KIPDA

Jewish Family & Career Services

UofL Trager

Legal Aid Society

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* 2. What is your county of residence?

Jefferson

Bullitt

Shelby

Spencer

Henry

Oldham

Trimble

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* 3. Age

Under 60

60 - 69

70 - 79

80 - 89

90 and over

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* 4. Gender

Female

Male

Other

Please specify:

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* 5. Race

White

African American/ Black

Hispanic

Native Hawaiian/ Pacific Islander

Asian

Other (please specify)

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* 6. Household composition. Do you live... Check all that apply

Alone

With your spouse

With your children or grandchildren

With other relatives

With non-relatives

Other (please specify)

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* 7. How did you learn about our services?

Brochure

Media

Friend/relative

Place of worship

KIPDA referral

Other (please specify)

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* 8. What caregiver services did you receive? Check all that apply.

Information about available resources

Assistance in obtaining services

Counseling

Caregiver training

Support group

Respite

Supplemental services (vouchers)

Other (please specify)

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* 9. Are you better able to care for your loved one and yourself as a result of the service(s) you have received from the Family Caregiver program?

Yes

Not sure

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* 10. If you participated in a training program, did you experience any of the following? Check all that apply.

Positive knowledge gain

Positive changes in attitude

Positive changes in skills

Positive changes in behaviors

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* 11. If you participated in counseling or a support group, did you experience any of the following?

Positive benefits

Less stress

Both

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* 12. Have your needs been met through the caregiver services you received?

My needs have been met

My needs have been somewhat met

My needs have not been met

If not met, please explain.

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* 13. Do you feel you had timely access to obtaining information when calling this program?

Yes

If No, please explain:

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* 14. Overall, are you satisfied with the services provided by this program?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

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* 15. Are there additional services (other than those received) that would be helpful to you as a caregiver?

Yes

If Yes, please explain.

FY25 Family Caregiver Support Program Satisfaction Survey

Question Title

* 1. Who is the provider of your caregiver services?

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* 2. What is your county of residence?

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* 3. Age

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* 4. Gender

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* 5. Race

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* 6. Household composition. Do you live... Check all that apply

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* 7. How did you learn about our services?

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* 8. What caregiver services did you receive? Check all that apply.

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* 9. Are you better able to care for your loved one and yourself as a result of the service(s) you have received from the Family Caregiver program?

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* 10. If you participated in a training program, did you experience any of the following? Check all that apply.

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* 11. If you participated in counseling or a support group, did you experience any of the following?

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* 12. Have your needs been met through the caregiver services you received?

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* 13. Do you feel you had timely access to obtaining information when calling this program?

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* 14. Overall, are you satisfied with the services provided by this program?

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* 15. Are there additional services (other than those received) that would be helpful to you as a caregiver?

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* 16. Suggestions for improving caregiver services: