FY25 Family Caregiver Support Program Satisfaction Survey
1.
Who is the provider of your caregiver services?
KIPDA
Jewish Family & Career Services
UofL Trager
Legal Aid Society
2.
What is your county of residence?
Jefferson
Bullitt
Shelby
Spencer
Henry
Oldham
Trimble
3.
Age
Under 60
60 - 69
70 - 79
80 - 89
90 and over
4.
Gender
Female
Male
Other
Please specify:
5.
Race
White
African American/ Black
Hispanic
Native Hawaiian/ Pacific Islander
Asian
Other (please specify)
6.
Household composition. Do you live...
Check all that apply
Alone
With your spouse
With your children or grandchildren
With other relatives
With non-relatives
Other (please specify)
7.
How did you learn about our services?
Brochure
Media
Friend/relative
Place of worship
KIPDA referral
Other (please specify)
8.
What caregiver services did you receive? Check all that apply.
Information about available resources
Assistance in obtaining services
Counseling
Caregiver training
Support group
Respite
Supplemental services (vouchers)
Other (please specify)
9.
Are you better able to care for your loved one and yourself as a result of the service(s) you have received from the Family Caregiver program?
Yes
No
Not sure
10.
If you participated in a training program, did you experience any of the following?
Check all that apply.
Positive knowledge gain
Positive changes in attitude
Positive changes in skills
Positive changes in behaviors
11.
If you participated in counseling or a support group, did you experience any of the following?
Positive benefits
Less stress
Both
12.
Have your needs been met through the caregiver services you received?
My needs have been met
My needs have been somewhat met
My needs have not been met
If not met, please explain.
13.
Do you feel you had timely access to obtaining information when calling this program?
Yes
No
If No, please explain:
14.
Overall, are you satisfied with the services provided by this program?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
15.
Are there additional services (other than those received) that would be helpful to you as a caregiver?
Yes
No
If Yes, please explain.
16.
Suggestions for improving caregiver services:
Current Progress,
0 of 16 answered