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Frequency Survey - Caregivers
*
1.
Which age range describes you?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
*
2.
Which of the following best describes you?
(Required.)
I am a senior who lives at home and receives help from an INDEPENDENT CAREGIVER.
I am a senior who lives at home and receives help from a CAREGIVING AGENCY.
I have a parent who lives at home and receives help from an INDEPENDENT CAREGIVER.
I have a parent who lives at home and receives help from a CAREGIVING AGENCY.
None of the above.
3.
Answer the following frequency questions regarding the caregiver that you use yourself or that you employ for a parent, if applicable.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
I trust my caregiver.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
I overpay for my caregiver.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
My caregiver is late.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
My caregiver cancels last minute.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
I need to book a caregiver last minute.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
I want to change caregivers.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
My family receives updates from my caregiver.
Always
Usually
Sometimes
Rarely
Never
Not Applicable
*
4.
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.
(Required.)
Current Progress,
0 of 4 answered