Disrupting Caregiving Survey

Together we can change the healthcare system so that caregivers are empowered and feel valued!

Please answer the questions openly and honestly. Your individual answers willl not be shared with anyone. Rather responses will be reported in aggregate format.

Question Title

* 1. Which best describes your role?

I am a family caregiver

I am a frontline caregiver (i.e., working as a home care assistant, nursing assistant, medication aide)

I am a volunteer working in healthcare

I work in a leadership position in healthcare

I am a caregiver advocate

Question Title

* 2. What qualities make the best caregivers?
Please rank the following qualities in order of which is most important with 1 representing the most important quality and 7 being the least important.

Patient

Kind

Empathetic

Respectful

Dependable

Compassionate

Authentic

Question Title

* 3. Of the following qualities which make the best caregivers?
Rank the following qualities in order of which is most important with 1 representing the most important quality and 6 being the least important.

Practices self-care

Easily adapts to change

Participates in advocacy

An effective communicator

Maintains healthy boundaries

Objective during conflicts

Question Title

* 4. What Tools/Supports do Caregivers need to be Effective?
Rank the following tools and supports in order of which is most important wih 1 representing the most important quality and 7 being the least important.

Access to caregiver training

Access to mental health supports like therapy

Social Support

Grief Support Services

Patient/Caregiver Compatibility Assessment for professional providers

Access to loved one's Medical File or Packet

Self-time for balance, centering, and meditation

Question Title

* 5. Please rank the following ways that employers can best support employed caregivers in order of which is most important with 1 representing the most important quality and 8 being the least important.

Provide a family caregiving benefit for paid leave

Being understanding when a caregiving crisis occurs

Provide employees a paid education program

Ensure that there are effective policies for caregiving and bereavement

Increase hourly wages

Provide access to affordable healthcare benefits

Have effective leader in place who understand caregiving

Advocate for caregivers

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* 6. If you could design a caregiver-friendly healthcare system what would it look like? Please share your thoughts.

Question Title

* 7. Your name and address is only required if you would like to enter the drawing for a free Caregiver Wellness bag. If you do not wish to be entered in the drawing please feel free to skip this question.

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Question Title

* 1. Which best describes your role?

Question Title

* 2. What qualities make the best caregivers?Please rank the following qualities in order of which is most important with 1 representing the most important quality and 7 being the least important.

Question Title

* 3. Of the following qualities which make the best caregivers?Rank the following qualities in order of which is most important with 1 representing the most important quality and 6 being the least important.

Question Title

* 4. What Tools/Supports do Caregivers need to be Effective?Rank the following tools and supports in order of which is most important wih 1 representing the most important quality and 7 being the least important.

Question Title

* 5. Please rank the following ways that employers can best support employed caregivers in order of which is most important with 1 representing the most important quality and 8 being the least important.

Question Title

* 6. If you could design a caregiver-friendly healthcare system what would it look like? Please share your thoughts.

Question Title

* 7. Your name and address is only required if you would like to enter the drawing for a free Caregiver Wellness bag. If you do not wish to be entered in the drawing please feel free to skip this question.

* 2. What qualities make the best caregivers?
Please rank the following qualities in order of which is most important with 1 representing the most important quality and 7 being the least important.

* 3. Of the following qualities which make the best caregivers?
Rank the following qualities in order of which is most important with 1 representing the most important quality and 6 being the least important.

* 4. What Tools/Supports do Caregivers need to be Effective?
Rank the following tools and supports in order of which is most important wih 1 representing the most important quality and 7 being the least important.