In order to get a better idea of what's working, what needs improvement, or what changes need to be made to our support groups, we are asking caregivers and family members to complete this survey. We are hoping to gain valuable information from the community in order to improve our groups.

Question Title

* 1. Please list the town you live in.

Question Title

* 2. Are you currently providing care or are a family member to someone with a dementia, chronic illness, or disability?

Question Title

* 3. Where do you go to get information about local events/resources?

Question Title

* 4. Do you currently attend a caregiver support group?
If yes, please answer questions 5-9.
If no, please answer questions 10-12

Question Title

* 5. If yes to number 4, please select the type below?

Question Title

* 6. If yes to number 4, what do you think works well for the group

Question Title

* 7. If yes to number 4, how did you initially hear about the group?

Question Title

* 8. If yes to number 4, what are some things that could be improved about the group? (time, day, location, etc.)

Question Title

* 9. If yes to number 4, what are some barriers you face when attending this group?

Question Title

* 10. If no to number 4, are you aware of the support groups available to caregivers and family members?

Question Title

* 11. If no to number 4, what prevents you from attending a support group?

Question Title

* 12. If no to number 4, what day/time/location would be ideal for a support group?

Question Title

* 13. Would you like more information regarding local support groups?

T