Creating Support for Unpaid Caregivers in our Community

Thank you for helping us design a program to provide support to unpaid caregivers who are looking after a frail or at-risk family member, loved one, or friend.

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* 1. Are you currently acting as an unpaid caregiver, or have you in the past?

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* 2. How long has/did your caregiving last?

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* 3. Did you have sufficient support to allow you to take care of yourself while being a caregiver?

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* 4. What types of activities have helped you to take care of yourself while being a caregiver?

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* 5. What support do you wish you had to allow you to take better care of yourself?

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* 6. As a caregiver, how likely would you be to use the following supports for yourself if they were available?

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Support group (weekly, bi-weekly or monthly)
1 to 1 in-person support 
Task support (shopping, household chores, yardwork)
Action planning (guidance to create a support plan, including emergency assistance)
Telephone support line

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* 7. How frequently do you think you would attend a support group?

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* 8. Thank you for giving us feedback on what caregivers need. If you would like us to contact you when we have new caregiver supports in place, please provide your name and contact information below.

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