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! Question Title * 1. What services did you receive from FCSP? Information about community resources Case management (someone working one-on-one with you about your needs) Grant/stipend to spend on respite or other needs Counseling Referral Workshops (Powerful Tools for Caregivers) Emotional support Other (please specify) Question Title * 2. Did the services you received help you to be a better caregiver? Yes No Neutral Question Title * 3. Did the services you received help you keep the person you care for at home? Yes No Question Title * 4. How would you rate your overall experience with the Family Caregiver Support Program? Very satisfied Somewhat satisfied Neutral Somewhat dissatisfied Very dissatisfied Comments: Question Title * 5. Which of the services you received was the most helpful? Question Title * 6. Do you have any suggestions for improving our program? Question Title * 7. Are you caring for a person with: Alzheimer's or Dementia Related child aged 18 or under Person with a disability Other (please specify) Question Title * 8. What is your relationship to the person you care for? Partner or spouse Adult child Parent Family member Friend Other (please specify) You don't have to answer, but it would help us to know: Question Title * 9. What is your gender? Female Male Non-binary Prefer to self-describe Question Title * 10. What is your age? 30-39 40-49 50-59 60-69 70-79 80-89 90+ Question Title * 11. What is your race/ethnicity/culture (check all that apply): Asian Black/African American Native American/Alaska Native Slavic Hispanic/Latino/Latine/Latinx Middle Eastern/North African White Native Hawaiian/Pacific Islander Unknown/Prefer not to answer Prefer to self-describe Question Title * 12. Do you consider yourself part of the LGBTQ+ community? Yes No Question Title * 13. Anything else you want to tell us? Question Title * 14. Name (first and last): Done