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* 1. Which of the following support groups have you attended?  Check all that apply.

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* 2. If you do not attend our caregiver support groups, what are some reasons you do not attend? (Example: The timing is not convenient OR I attend support groups elsewhere OR I don't have time, etc.)

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* 3. Support groups are fun.

Never Sometimes Always
i We adjusted the number you entered based on the slider’s scale.

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* 4. Support groups are sad.

Never Sometimes Always
i We adjusted the number you entered based on the slider’s scale.

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* 5. I meet new friends at support groups.

Never Sometimes Always
i We adjusted the number you entered based on the slider’s scale.

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* 6. I learn new information at support groups

Never Sometimes Always
i We adjusted the number you entered based on the slider’s scale.

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* 7. I get my questions answered at support groups.

Never Sometimes Always
i We adjusted the number you entered based on the slider’s scale.

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* 8. Support groups are a safe space to share my frustrations and worries.

Never Sometimes Always
i We adjusted the number you entered based on the slider’s scale.

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* 9. How can we make your support group experience better? (Example: Hold a support group at X time that works better for my schedule.)

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* 10. Are there any topics that you would like to see covered in a blog post or Wine & Unwind session?  Or any fun activities you think we should include in our caregiver support program?

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