JFGH Family Survey - Programs

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* 1. In what program does JFGH support your family member:

Group Homes

In-Home Supports

MOST

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* 2. About what are you most concerned when thinking about JFGH’s re-opening/safe return to services?

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* 3. Do you have reliable wifi/internet service and computer hardware to support virtual supports?

Yes

No

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* 4. Would you be comfortable/allow visits to your home by JFGH staff in order to support your loved one at your home?

Yes

No

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* 5. If JFGH were to relax family visitation restrictions, would you visit your family member at their home?

Yes

No

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* 6. Have you been tested for COVID-19, and if so, what was the test result?

No, haven’t been tested.

Tested POSITIVE for COVID-19

Tested NEGATIVE for COVID-19

Decline to answer

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* 7. Is there anyone in your home who has tested positive for COVID-19?

Yes

No