Thank you for taking the time to complete our survey. The primary caregiver served by Colorado Respite Care Program funds should answer these questions. Your feedback is very important. Before beginning, please note the following:

"Primary caregiver" refers to the family member, friend or primary person caring for the person with special needs at home. For example: If Mary is Bobby's grandmother and takes care of him the majority of the time, she is the primary caregiver.

"Individual receiving care" refers to the person with special health care needs that is receiving care. 

If you have any questions regarding this survey or a specific question, please contact Meghan Kluth at mkluth@eastersealscolorado.org or 303.233.1666 x 257.

Please note that all information received will be used anonymously.

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