Henry Ford Health System Caregiver Binder Survey

Thank you for taking the time to complete this survey! Your feedback is valuable and will help the Henry Ford Department of Family and Caregiver Resources make improvements to the Binder.

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* 1. How did you receive your Caregiver Binder?

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* 2. How would you describe yourself?

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* 3. How long have you used the Caregiver Binder?

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* 4. Please enter the age range of the person receiving care.

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* 5. Please tell us, in very general terms, about the patient's health issues.

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* 6. How would you rate the overall helpfulness of the Caregiver Binder?

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* 7. What is the most helpful part of the Binder?

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* 8. How likely are you to recommend the Caregiver Binder to another caregiver?

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* 9. Please tell us how we could improve the Binder.

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* 10. If you purchased the Binder in a store, how much would you expect to pay for it?

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