Little is known about how prepared individuals are when they take on caregiving roles. I am asking you to do this survey to learn more about what planning (if any) people do when stepping in as caregivers. Please complete this survey if you expect to become a caregiver, are currently a caregiver, or were a caregiver in the past.

All data collected from the surveys will be analyzed in the aggregate, so all respondents will be non-identifiable. 

Thank you so much for completing this survey!! If you have any questions, please reach out to me, Dr. Julie Norstrand at Julie@helpmyagingparents.net

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1. Which one of these scenarios best describes you?

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2. Who do you expect to become (or were) a caregiver for? (Check all that apply)

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3. How worried / anxious are (or were) you about expecting to become a caregiver?  (0 = least worried)

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i We adjusted the number you entered based on the slider’s scale.

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4. Have (or did) you do any planning for your role as a caregiver?

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5. If you answered yes to Q4, please describe what kind of planning you have done. (Check all that apply) (Required.)

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6. Where did you get information when planning for caregiving? (Check all that apply)

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7. If you haven't done any planning, why is that? (Check all that apply)

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8. What could help you start to look into what caregiving entails? (Check all that apply)

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9. If you have already been a caregiver what advice would you give someone who has never been a caregiver but knows that they will need to care for someone in the future?

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10. What is your status:

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11. What state do you live in?

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12. Your age category

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13. Your gender

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14. Do you live with your care recipient?

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15. If you do not live with your care recipient, please indicate how far they live from you (in miles)

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16. Any comments / questions:

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