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Maui County Office on Aging - 2022 Caregiver Survey

The Maui County Office on Aging is gathering community input to develop the new 4-yr Area Plan on Aging (2023-2027).  This survey is one opportunity for Maui County caregivers to share their opinions to develop, maintain, or change services in the county.  All responses are anonymous.

*For current unpaid Caregivers of an older adult age 60 and older, OR an individual with a disability age 18 yrs and older, OR a grandparent raising a grandchild (any age). 
1.What is your Post Office zip code?
2.What is your age?
3.What is your gender identity?
4.What is your marital status?
5.What is your employment status?
6.What is your annual personal (not household) income?
7.What is your race/ethnicity? (select all that apply)
8.Is English our primary language?
9.Who do you assist? Check all that apply.
10.How many (#) individuals do you provide for?
11.If you are caring for more than one person, answer the next following questions about the person you provide the most care to.   How old is the person that you assist?
12.Are you the primary or secondary caregiver?
13.Do you live with the person you provide care for?
14.How long have you been providing care?
15.Who helps you provide care? Check all that apply.
16.How often do you provide care during the week?
17.How would you describe your stress level related to your caregiving responsibilities?
None
A little
Moderate
A lot
18.What types of help do you provide?  Check all that apply.
19.Which services does this person currently receive from agencies?  Which services do you need more of?  Check all that apply.
Yes, Receiving
I pay out of pocket
Need more of
Home delivered meals
Light Housekeeping
Heaving Cleaning, yardwork, etc.
Personal care (help with bathing, dressing, etc.)
Transportation
Respite (temporary break for caregivers)
Adult Day Care/Day Health
Caregiver support (indiv and grp support, training and education)
Friendly visitor (visits/help from volunteer/friend)
Case management (social worker/case manager helping with coordination)
Nursing Services
Legal Services (Wills, guardianship, power of attorney)
Public Assistance (Medicaid, Food Stamps/SNAP, Housing Assistance, etc.)
20.Do you have access to and use the Internet either at home, work, or another place?
21.What types of respite care do you think are available in your area?  You may select more than one answer if it applies.
22.If you have not used community agency services to help you with your caregiving, what is/are the main reason(s) for not using them?  Check all that apply.
23.What issues concern you as a caregiver?  Check all that apply.
24.What kinds of support would help you and other caregivers in the community?  Check all that apply.
25.Do you have any general comments or have any ideas on how we can better serve caregivers in our county?