Stress Survey

Question Title

* 1. Which age range describes you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 2. Which of the following best describes you?

I am a senior who lives at home and receives help from a caregiver.

I am a senior who lives in a nursing home.

I have a parent who lives at home and receives help from a caregiver.

I have a parent who lives in a nursing home.

None of the above.

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* 3. My stress level regarding nursing homes is:

No stress

Extreme stress

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 4. Explain your response to the previous question.

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* 5. My stress level regarding at-home caregivers is:

No stress

Extreme stress

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. Explain your response to the previous question.

Question Title

* 7. What is your email address? Note: Your email address will only be used to enter you into the drawing to win prizes. You will be contacted via email if you win. Your email address will not be shared and all reports resulting from this survey will remain anonymous.