Humboldt Senior Resource Center (HSRC) supports seniors in Humboldt County in having a high-quality of life with health, dignity, and self-determination in a community of respect, and supported by competent caregivers and families.
 
HSRC is in the process of planning for the future needs of the community and to do that, we are asking for your input to determine what is needed.
 
If you are a caregiver - paid or unpaid - or a family member of an adult (age 55 and older) who needs care assistance, please take our survey.
 
"Family" includes relatives, friends, neighbors, or anyone concerned or involved in an individual's care.

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* 1. I am:

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* 2. I am paid as a caregiver.

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* 4. As a family caregiver, I receive help from others.

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* 5. As a family caregiver, do you also work outside the home in addition to your caregiver duties?

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* 6. I am:

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* 7. May age is:

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* 8. My residence zip code is:

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* 9. As a caregiver, do you feel that you have adequate time for self-care?

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* 10. Please select the challenges you face in self-care.  Select all that apply.

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* 11. What is the diagnosis of the adult you provide care for? Select all that apply.

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* 12. Please tell us the day-to-day challenges you currently face as a caregiver or family member of an adult who needs care assistance.  Select all that apply.

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* 13. What do you perceive as the primary needs of the adult you care for?  Select all that apply.

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* 14. What are the most significant barriers that you have encountered in giving care to an adult?  Select all that apply.

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* 15. Ideally, how many hours of caregiving assistance does the adult you care for need each week?

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* 16. Do you feel you are adequately informed about local caregiving resources?

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* 17. If you would like to be contacted to provide more feedback, please enter your contact information.

Thank you for making time to participate in this survey.  The information collected will be reviewed by our Board of Directors and management to shape future services and programs.  If you are interested in learning about updates, visit http://www.humsenior.org.
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100% of survey complete.

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