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* 1. Which City and State do you reside in?

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* 2. What is your age?

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* 3. What type of in-home support do you utilize?

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* 4. How many hours of support are you allotted?

Impact of COVID-19

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* 5. Have you experienced any of the following since the COVID-19 pandemic began?

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* 6. Do your workers have enough Personal Protective Equipment?

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* 7. Do you support lifting drug testing and physical therapy restrictions in hiring workers, at least temporarily, during the COVID-19 pandemic?

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* 8. Do you have any ideas on how to improve recruitment and retention?

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* 9. Has the COVID-19 pandemic created any other changes with your in-home supports or your general living situation?

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* 10. Do you have any stories, positive or negative, to share about your experiences with PCAs and other direct care workers during this time? Please share!

Additional Background Information

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* 11. Are you a Veteran, dependent or survivor of a Veteran, or caregiver of a Veteran?

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* 12. If yes to Question 11, are you *eligible* for benefits or services through the Department of Veterans Affairs?

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* 13. If yes to Question 11, do you *access* benefits and services through the Department of Veterans Affairs?

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* 14. If yes to Question 11, are you willing to discuss your experiences with us?

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* 15. How do you pay your direct care workers?

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* 16. What is the range of pay rates in your state? (If you are unsure, what is the pay rate for your in-home support providers?)

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* 17. Is pay for family/spouse caregiving available?

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* 18. Do you have a consumer-directed option?

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* 19. Do you utilize an agency or perform private hiring?

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* 20. Have you delayed any healthcare appointments due to COVID19, either routine or elective?

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* 21. If you are willing to discuss these issues further, please provide your email address.

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