Sawyer County and LCO: Caregiver Input for Upcoming Education, Events, and Services Survey

1.Your zip code:

54843 Hayward

54876 Stone Lake

54896 Winter

54835 Exeland

54828 Couderay

54867 Radisson

54862 Ojibwe

LCO

Other (please specify)

2.Who are you caring for?

Parent

Grandparent

Relative

Child

Spouse/Significant Other

Neighbor/Friend

Other (please specify)

3.Your age ranges?

20 to 39

40 to 59

60 to 75

76+

4.Select all topics that are important for you to learn:

Hands-on Care (bathing, dressing, cooking, paying bills, etc.)

Self-Care (ways to care for myself as a caregiver: in the moment, daily, experiences, respite, etc.)

Planning Ahead (for each stage of disease progression)

Resources Available (Tribal, Veterans, Disability or Elder Benefits, Disease Resources, Protective Services/Scams, etc.)

Nutrition (delivered meals, healthy eating, diet for disease/symptoms, malnutrition, loss of appetite, etc.)

Medication Management (coordinating, scheduling, dispensing, accurate, communication, etc.)

Mobility (transferring, devices, safety, movement/exercise, etc.)

End of Life (process, palliative care, hospice, funeral/burial, etc.)

Communication Techniques (Caregiver to Receiver, Caregiver to Caregiver, Caregivers to Physician)

CPR/First Aid

Advance Directives (Power of Attorney (POA) – Health and Financial, Supportive Decision Making, Activating POA, Do Not Resuscitate, Guardianship, etc.)

Safety (Alert Systems, Driving, Falls, Home Environment, Firearms, Wandering, etc.)

Transportation Options

Transitions of Types of Care (Home Health, In-Home Care, Assisted Living, Skilled Nursing Facility, Memory Care, etc.)

Other (please specify)

5.Check all that apply to your best learning style:

Video

Podcast

Radio

Newspaper/Print

Virtual

In-Person

Hands-on

Workshop

Conference

Movie

Support Group

Other (please specify)

6.Days and Times:

Mon

Tues

Wed

Thurs

Fri

Sat

Mornings

Afternoons

Evenings

1 Hour

2 Hours

3 Hours

4 Hours

All Day

7.Locations:

LCO University

LCO Clinic

Libraries

ADRC/Veteran Office

Courthouse

Tamarack Health

Hotel Conference Room

Churches

Senior/Community Center

Other (please specify)

8.What obstacles are you experiencing in caregiving?

Emotional Burnout

Physical Burnout

Financial Strain

Social Isolation

Balancing Caregiving with Personal/Professional Responsibilities

Dealing with Guilt and Self-Doubt

Managing Challenging Behaviors in Loved Ones

Difficulty Accessing Resources

Difficulty Accessing Services

Knowledge of Care/Coordinating Care

Making Care Decisions/Transitions

Developing Healthy Communication with Family

Coping with End-of-Life

Navigating the Transition after Caregiving

Other (please specify)

9.What services are you needing for your caregiving?

Help with Planning

Help with Communication with Care Receiver

Help with Communication with Family

Practical Education/Training

Respite Care for Time Off

Support Group

Connecting to Resources

Hand-on Care in the Home

Help with Cooking

Help with Safety

Help with Errands/Shopping

Help with Transportation

Help Communicating with Healthcare Providers

Legal Support

Financial Support

Other (please specify)

10.How well do you feel supported as a caregiver?

Not at all

Some Support

Supported

Good Support

Very Well Supported

Thank you for completing the Survey!!

If you completed a paper version of this survey.
Please either return it to the person/organization that gave it to you or please drop it off at:
· Sawyer County Courthouse – Human Health Services – entrance on 4th St off of Main in Hayward

· Aging and Disability Resource Center (ADCR) – 16096 State Highway 63, Hayward

· LCO Tribal Elder Center – 13394 N Trepania Rd, Hayward, WI 54843
Or

Fax to 715-634-2004

Or

Contact your DCS:

joaniez@sawyercounty.gov, 866-663-3607

Angela.Beckman@lco-nsn.gov, 715-558-7938