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Family Caregivers' Experience with Clinicians
1.
Has a hospital or mental health clinician failed to provide you with important information needed to help with the care of your loved one?
Yes
No
2.
Do you believe that the refusal to provide information to you negatively affected the safety of your loved one, you, or anyone else?
Yes
No
3.
Have you ever tried to provide essential information about your loved one to a clinician and were told that the clinician could not accept your information?
Yes
No
4.
Has a Clinician Ever told your loved one information told to him/her in confidence
Yes
No
5.
How often do you interact with clinicians regarding the care of your family member?
Daily
Weekly
Monthly
Rarely
Never
6.
How would you rate the communication skills of the clinicians you interact with?
Excellent
Good
Average
Poor
Very Poor
7.
Rate your overall satisfaction with the clinicians' responsiveness to your concerns.
1 étoile
2 étoiles
3 étoiles
4 étoiles
5 étoiles
8.
What types of support have clinicians provided to you as a caregiver? Select all that apply.
Emotional support
Educational resources
Care instructions
Coordination with other services
None
9.
How knowledgeable do you find the clinicians about your family member's specific condition?
Very knowledgeable
Somewhat knowledgeable
Neutral
Somewhat unknowledgeable
Not knowledgeable at all
10.
How easy is it to schedule appointments with the clinicians?
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
11.
How would you rate the level of empathy shown by clinicians towards your family member?
Very high
High
Moderate
Low
Very low
12.
What is one improvement you would like to see in your interactions with clinicians?
13.
How well do clinicians involve you in decision-making processes regarding your family member's care?
Very well
Well
Neutral
Poorly
Very poorly
14.
What is your gender?
Male
Female
15.
What is your age
Under 18
18-24
25-34
35-44
45-54
55-64
65+
16.
What province do you live in
Alberta
BC
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
PEI
Newfoundland
Northern Canada
17.
What is the age of your relative
Under 18
18-24
25-34
35-44
45-54
55-64
65+