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Provider E-News Update Survey
Provider E-News Update Survey
Give us your feedback! This brief survey will only take a few minutes to complete, honest! Thanks in advance for your time.
1.
What type of provider are you? (check one)
Social Worker
Nurse
Physician
Other health care/clinical provider
Other social services/community services provider
Other (please specify)
2.
What do you like about the FCA Provider E-News Update? (check all that apply)
I learn about the needs/challenges of family caregivers
It provides helpful resources
It makes it easier for me to identify and help family caregivers
It helps to keep me updated on FCA's work
Please provide some detail:
3.
How can we make the Provider E-News Update more valuable to you?
4.
How likely are you to share featured resources and FCA info with family caregivers?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Other (please specify)
5.
How likely are you to refer caregivers to FCA for information or support?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Other (please specify)
6.
How likely are you to share this newsletter with other providers?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Other (please specify)
7.
Please share any additional feedback (optional)
