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Bay Aging Caregiver Survey

Bay Aging is gathering information about caregivers, those individuals who provide help or care to their family members or friends in Virginia. We will use the feedback we gather to support updates and improvements to the services we provide to older adults and their caregivers.

Who should complete the survey? Anyone who serves as a caregiver for a parent, spouse, other relative or unrelated person living with chronic conditions, disabilities, or age-related challenges.

What should I do if I am not a caregiver? If you are not a caregiver, please share this survey with anyone you know who provides care for others.

When should the survey be completed? Please complete the survey by Tuesday, July 28, 2026.

Questions? If you have questions about the Caregiver Survey, you can call Bay Aging at: 1-804-758-2386.
SURVEY QUESTIONS
Demographics Section
Please complete the information below about yourself.
1.Gender
2.Age
3.Race / Ethnicity
4.Marital status
5.Do you provide unpaid help or care of any type (personal care, assistance with transportation, chores, or finances, arranging appointments, etc.) for a family member or friend over 18 years of age?(Required.)
6.How many individuals, over age 18, do you provide help/care for?
7.Do you live with the individual you provide care for?
8.What county do you live in?
9.What county does the individual(s) you provide care for live in? (Check all that apply)
10.How much time per week do you provide help/care for an individual over 18?
11.How long have you provided help / care for the individual(s) you assist?
12.For whom do you or did you provide help/care? (Check all that apply)
13.What type(s) of help/care do you provide? (Check all that apply)
14.Does the individual you care for have a diagnosis of dementia or Alzheimer's?
15.Your work status
16.If you work or worked FT or PT, have your caregiving duties had an impact on your work environment? (Check all that apply)
17.What issues does the individual you provide care for experience? (Check all that apply)
18.Do you currently receive any assistance in your helping/caregiving role? (Check all that apply)
Caregiver Feedback Section
Bay Aging appreciates your feedback on your caregiver experience. We believe learning from you will assist us in developing more caregiver-focused programming and improve our overall assistance to caregivers. The next few questions are about your thoughts and needs as a caregiver.
Please complete the following sentences.
19.I wish someone had told me this before I became a caregiver:
20.The most difficult part of caregiving is:
21.The most rewarding part of caregiving is:
22.Caregivers often take on new responsibilities over the course of their caregiving journey. Please select the educational topics below you would like to receive more information or training on. (Check all that apply)
23.I would like more information/education about the following topics: (Check all that apply)