Emerging Health Care Needs of Seniors and Caregivers in North Idaho

- by On Site for Seniors 2021

We appreciate your best responses to this survey. Your health data is protected by HIPAA and will be used to improve patient experiences with our telehealth, respite care, and other health services.

If you have any questions, please contact a nearby On Site for Seniors Staff Member or phone Monica at 208-967-4771.

We appreciate your best responses to the following questions. The estimated time to complete this is only 3 to 5 minutes for 10 Questions. Thank you so much!

Question Title

* 1. Have YOU, or the Loved One you are caring for, seen your Primary Care Provider (or General Practitioner) in the past 12 months?

Yes, ( for MYSELF)

Yes, ( I am answering on behalf my Loved One)

No, ( for MYSELF)

No, ( I am answering on behalf my Loved One)

No, I don't have a Primary Care Provider ( for MYSELF)

No, My Loved One doesn't have a Primary Care Provider ( I am answering on behalf my Loved One)

Please Specify if you are answering as a Caregiver, or For Yourself for the Whole Survey

Question Title

* 2. Specialists are doctors like surgeons, heart doctors, psychologists, pain specialists, foot doctors, eye doctors, and other doctors who specialize in one area of health care.

In the last 12 months, how difficult was it to get appointments with Specialists?

Very easy

Somewhat Easy

Somewhat Hard

Very Hard

N/A I have NOT tried to, or needed to schedule an appointment with a SPECIALIST

With Which Specialists did you have difficulty making appointments (Optional)

Question Title

* 3. Have you ever seen a healthcare provider over a secure Telehealth video call?

Yes, I have had 1 Telehealth Visit

Yes, I have had 2 to 5 Telehealth Visits

Yes, I have had 6 to 10 Telehealth Visits

Yes, I have had more than 10 Telehealth Visits

No, I don't know what a Telehealth Video Call is or how to get one

No, I don't have access to stable Internet for a Telehealth Call

No, I don't have access to iPad, smart phone, or other EQUIPMENT for a Telehealth Call

No, I don't see any advantages to having a Telehealth Video Call

Other TELEHEALTH Questions or Reasons (please specify)

Question Title

* 4. How satisfied have you been with your Telehealth video call?

Very Satisfied

Satisfied

Dissatisfied, but would try again

Dissatisfied, and do NOT want to try again

N/A because I never had a Telehealth video call

Comments or Suggestions (please specify below)

Question Title

* 5. At times, Seniors and their Caregivers can become very stressed from family dynamics, changing emotions, and disappointments of life circumstances.

A few hours separated from this responsibility can enhance the quality of life for everyone. This is "RESPITE CARE."

Is there a need for a Caregiver and Loved One to have "Respite Care" in your family or household?

Yes

I would need more information

Please give me more information on "Respite Care."

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* 6. How many times in the average week do you engage in 30 MINUTES or more of LIGHT ACTIVITY (for example, leisurely walking, shopping, light housework?)

5 or more

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* 7. How many times in the average week do you engage 30 MINUTES of MODERATE ACTIVITY (brisk walking, yard work, gardening, light bicycling)?

5 or more

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* 8. In what zip code is your home? (enter 5 digit zip codes, for example, 83815, 83864)

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* 9. What is your age, or the age of your Loved One?

18 to 34

35 to 54

55 to 64

65 to 80

81 to 90

91 to 100

101 and older

Question Title

* 10. Optional: If you would like to participate in future surveys, research studies, or receive other health care announcements, or news, please enter your email below:

Emerging Health Care Needs of Seniors and Caregivers in North Idaho

- by On Site for Seniors 2021

Question Title

* 1. Have YOU, or the Loved One you are caring for, seen your Primary Care Provider (or General Practitioner) in the past 12 months?

Question Title

* 2. Specialists are doctors like surgeons, heart doctors, psychologists, pain specialists, foot doctors, eye doctors, and other doctors who specialize in one area of health care. In the last 12 months, how difficult was it to get appointments with Specialists?

Question Title

* 3. Have you ever seen a healthcare provider over a secure Telehealth video call?

Question Title

* 4. How satisfied have you been with your Telehealth video call?

Question Title

Question Title

* 6. How many times in the average week do you engage in 30 MINUTES or more of LIGHT ACTIVITY (for example, leisurely walking, shopping, light housework?)

Question Title

* 7. How many times in the average week do you engage 30 MINUTES of MODERATE ACTIVITY (brisk walking, yard work, gardening, light bicycling)?

Question Title

* 8. In what zip code is your home? (enter 5 digit zip codes, for example, 83815, 83864)

Question Title

* 9. What is your age, or the age of your Loved One?

Question Title

* 10. Optional: If you would like to participate in future surveys, research studies, or receive other health care announcements, or news, please enter your email below:

* 2. Specialists are doctors like surgeons, heart doctors, psychologists, pain specialists, foot doctors, eye doctors, and other doctors who specialize in one area of health care.

In the last 12 months, how difficult was it to get appointments with Specialists?