Caregiver Survey Concerning Respite Care for Mobility-Impaired Veterans

Thank you for participating in our survey! It only takes 5 minutes.

As a caregiver, your input is vital and greatly appreciated. Information you provide will be used by Forward Free for respite care planning. No personal information will be retained, used, or shared.

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* Are you under age 60?

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* Do you live in an urban area?

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* Do you currently use respite care programs offered by private, commercial, or government agencies including the VA?

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* If yes, what agency and services do you use?

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* If VA, which facility does your care recipient use?

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* How often have you previously used such programs?

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* Have there been recent situations where you wanted respite care, but didn't get it?

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* If so, what was the main cause for wanting respite care?

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* What prevented you from getting it?

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* In your own words, describe the ideal respite care program if you could get it.

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* What skills or training would be helpful for you to have (or to have had earlier) to support you as a caregiver?

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* How does caregiving affect your own health and well-being, and what kind of support would you want?

 
 100% of survey complete.

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