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CAREGIVER Home Health Survey
Fairfield Cares is a local non-profit dedicated to creating a community environment that supports people thriving from cradle to grave. To this end, we are working to build partnerships and a more responsive, compassionate system of care that promotes well-being and independence for senior citizens and those of all ages with special needs for health care, social support, and other services in our community.
WHO SHOULD COMPLETE THE SURVEY:
Caregivers who provide skilled and/or unskilled services to assist the elderly and/or those with a temporary or permanent disability or chronic illness with their daily living activities.
Your answers to the following questions will provide data to help us build partnerships and resources in Jefferson County.
CONFIDENTIALITY: All responses to the survey are automatically confidential and compiled in a manner that prevents the identification of individual respondents. Note: If you want to receive information about resources and projects being developed related to caregiving, please enter your contact information at the end of the survey.
For additional assistance with completing this survey contact