Your Feedback on New York State's CARE Act: A Guide for Patients and Caregivers

Thank you for participating in our survey.

This guide was prepared by United Hospital Fund. Your feedback will be helpful as we continue to prepare material to help patients and family caregivers like you.

You can learn more about the work United Hospital Fund does to help family caregivers and health care providers work better together at www.nextstepincare.org and at www.uhfnyc.org.

Question Title

* 1. Are you a patient, a family caregiver, health care provider, or other person involved in care?

Patient

Family Caregiver

Health Care Provider

Other (please specify)

Question Title

* 2. How helpful was this guide in explaining how the CARE Act may apply to patients and family caregivers?

Not at all helpful

Slightly helpful

Moderately helpful

Very helpful

Extremely helpful

Not at all helpful

Slightly helpful

Moderately helpful

Very helpful

Extremely helpful

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* 3. Do you still have questions about the CARE Act?

Yes

Don't know

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* 4. If you have questions, what are they about? Choose all that apply.

Identification of the family caregiver

Consent by the patient for the family caregiver to receive health information

Discharge notification

Caregiver training

No questions at this time

Other (please specify)

Your Feedback on New York State's CARE Act: A Guide for Patients and Caregivers

Question Title

* 1. Are you a patient, a family caregiver, health care provider, or other person involved in care?

Question Title

* 2. How helpful was this guide in explaining how the CARE Act may apply to patients and family caregivers?

Question Title

* 3. Do you still have questions about the CARE Act?

Question Title

* 4. If you have questions, what are they about? Choose all that apply.

Question Title

* 5. Please tell us any other comments or suggestions you may have about this family caregiver guide about the CARE Act.

Question Title

* 6. May we contact you for further feedback about this guide?
Please enter your name and email address below.

Question Title

* 1. Are you a patient, a family caregiver, health care provider, or other person involved in care?

Question Title

* 2. How helpful was this guide in explaining how the CARE Act may apply to patients and family caregivers?

Question Title

* 3. Do you still have questions about the CARE Act?

Question Title

* 4. If you have questions, what are they about? Choose all that apply.

Question Title

* 5. Please tell us any other comments or suggestions you may have about this family caregiver guide about the CARE Act.

Question Title

* 6. May we contact you for further feedback about this guide?Please enter your name and email address below.

* 6. May we contact you for further feedback about this guide?
Please enter your name and email address below.