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Beginning Again: Pre-Session Survey
Before joining us, tell us about your current situation.
1.
On a scale from 1 to 5, with 1 being the least stressed and 5 being the most stressed, how stressed are you?
1 Least stressed
2
3
4
5 Most stressed
1 Least stressed
2
3
4
5 Most stressed
2.
I have regrets about my caregiving experience.
1 True
2
3
4
5 Not true
1 True
2
3
4
5 Not true
Please share any additional comments.
3.
I don’t have a plan for my next steps.
1 True
2
3
4
5 Not true
1 True
2
3
4
5 Not true
Please share any additional comments.
4.
I don’t know how to talk about my caregiving experience.
1 True
2
3
4
5 Not true
1 True
2
3
4
5 Not true
Please share any additional comments.
5.
I worry I won’t have another purpose.
1 True
2
3
4
5 Not true
1 True
2
3
4
5 Not true
Please tell us more.
6.
When did your caregiving experience end?
Less than three months ago.
Between three and six months ago.
Between six months and one year ago.
Between one year and 18 months ago.
Between 18 months and two years ago.
More than two years ago.
Comments
Current Progress,
0 of 6 answered