Program Survey

Caregiver Resource Center, CCE Sullivan

Question Title

* 1. As a caregiver of a friend, neighbor or loved one, what types of programs would you be interested in participating in? (check all that apply):

Chair Yoga

Walk with Ease (for individuals of varying abilities or physical limitations)

Tai Chi for Arthritis & Falls Prevention (8 week class, once per week)

Chronic Disease Self-Management (2.5 hrs once/wk for 6 wks)

Chronic Pain Self-Management

Caregiver support group

Workshops/educational events on Dementia and Alzheimer's Disease

Other (please specify)

Question Title

* 2. Which of the following workshops or educational events would you or someone you know, be interested in? (Check all that apply)

Understanding Alzheimer's and Dementia

10 Warning Signs of Alzheimer’s

Healthy Living for Your Brain & Body: Tips from Latest Research

Managing Money: A Caregiver’s Guide to Finances

Effective Communication Strategies (for caregivers of someone with dementia)

Understanding and Responding to Dementia-Related Behavior

Question Title

* 3. What is your preference for meeting type: (check all that apply)

In person

VIrtually (by zoom)

Other (please specify)

Question Title

* 4. What do you or a friend or loved one hope to gain from future caregiver support groups? (check all that apply)

To connect with others and share tips

How to better manage stress and gain coping skills

To receive emotional or social support

To help me manage my own needs while caring for someone else

To learn about respite services

To learn about community resources

To reduce isolation or loneliness

To learn about financial, healthcare or legal planning for my friend or loved one

Other (please specify)

Question Title

* 5. What is your preference for days and times to participate in a program? (check all that apply)

Weekday (Monday through Friday)

Saturday

Sunday

Mornings

Noon or lunchtime

Afternoons

Early evenings (generally between 5 and 7pm)

Question Title

* 6. Do you have reliable internet service?

Yes

Question Title

* 7. Do you need help with Zoom in order to participate in a support group or educational workshop if offered virtually?

Yes