Skip to content

Clackamas County Family Caregiver Support Program Survey

Hello Caregivers,

Please tell us how the program is working for you and your family and how we can make it better.

This information is completely private and will use it only to better serve our clients.

Thank you so much for your input; we really appreciate it!
1.What services did you receive from FCSP?
2.Did the services you received help you to be a better caregiver?
3.Did the services you received help you keep the person you care for at home?
4.How would you rate your overall experience with the Family Caregiver Support Program?
5.Which of the services you received was the most helpful?
6.Do you have any suggestions for improving our program?
7.Are you caring for a person with:
8.What is your relationship to the person you care for?
You don't have to answer, but it would help us to know:
9.What is your gender?
10.What is your age?
11.What is your race/ethnicity/culture (check all that apply):
12.Do you consider yourself part of the LGBTQ+ community?
13.Anything else you want to tell us?
14.Name (first and last):