Caregiver Support
1.
How often would you want caregiver support groups?
About once a week
A few times a month
Every other week
Once a month
Less than once a month
Other (please specify)
2.
Is there a best day of the week that works for you for a support group?
Monday
Tuesday
Wednesday
Thursday
Friday
Other (please specify)
3.
What times work best to have the caregiver support group?
In the morning
In the afternoon
In the evening
Other (please specify)
4.
Is there a specific time of day that works best for you to attend a support group?
9am -10am
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
3pm - 4pm
4pm - 5pm
5pm - 6pm
6pm- 7pm
7pm - 8pm
Other (please specify)
5.
Do you want the support group to be more open to discussion or structured with topics weekly?
Open ended discussion
Structured with topics
Other (please specify)
6.
Below are some common caregiver issues, please check if you would like a presentation on any of these topics.
Loneliness
Depression
Role reversal - when a parent becomes dependent on you
Grief in caregiving
Becoming an advocate for the care receiver’s medical and social needs
Preparing for the care receiver’s death
Money/estate issues
Respite
Handling inappropriate questions and responses from others
Lack of patience
Anger
Relationship changes
Asking for, accepting, giving and refusing help
Decision-making for self and others
Taking care of yourself as a caregiver
Conflict with parents/siblings
Change in social supports
Moving the care receiver to a care facility and being an advocate for them there
Other (please specify)
7.
Would you want caregiver support groups specific to a disease? Check all that apply.
Alzheimer's and Dementia
Parkinson's
Cancer
Other (please specify)
8.
If you were to attend a caregiver class would you be interested in a support group to continue after the class ended? Classes are Powerful Tools for Caregiver and Stress-Busters for Caregivers
Yes
No
9.
Do you feel support groups are an important option to have available to you?
Extremely valuable
Very valuable
Somewhat valuable
Not so valuable
Not at all valuable
Other (please specify)
10.
Would you prefer support groups to be in person, virtual or Facebook?
In person
Virtual
Facebook
Other (please specify)
Current Progress,
0 of 10 answered