1. Who do you provide care for?

2. How long have you been an elder caregiver?

4. How often do you prepare meals or snacks for the individual you care for (including cooking and shopping)?

5. On a scale of 1 to 5, please rate how well you feel that this individual’s nutritional needs are being met?

6. On a scale of 1 to 5, please rate your knowledge of the nutritional needs of older adults.

7. In regards to older adult nutrition, what specifically do caregivers need more information about?

8. How have you obtained information regarding the nutritional needs for the person you provide care for in the past?

9. On a scale of 1 to 5, please rate the likelihood that you would utilize a website that provides information on nutrition as it relates to caregiving?

10. Which of the following would you like to see included on such a website? (Check all that apply)