Exit Caregiving Happiness Project 1. Please answer the following questions. Question Title * 1. Please provide some demographic information. Country: Email Address: Question Title * 2. How old are you? Between 21 and 35 Between 35 and 50 Between 50 and 60 Between 60 and 70 Between 70 and 80 More than 80 years old Question Title * 3. You care for: Mother Father Spouse Brother Sister Grandmother Grandfather Daughter Son Aunt Uncle Family friend Other (please specify) Question Title * 4. How long have you been a caregiver? Less than six months Six months to one year One to two years Two to five years Five to nine years More than ten years Question Title * 5. Does your caree live with you? Yes. No. Question Title * 6. How many hours per week do you provide care? It's 24/7 More than 40 hours Between 20 and 40 hours Between 10 and 20 hours Between 1 and 10 hours Question Title * 7. On a scale of 1 to 5, with 1 being the least happy and 5 being the most, how would you rate your overall level of happiness? Unhappy Often Unhappy A Mix of Happy and Unhappy Often Happy Happy 1 1 Unhappy 1 Often Unhappy 1 A Mix of Happy and Unhappy 1 Often Happy 1 Happy Question Title * 8. Describe a time in your life when you felt happy. Question Title * 9. Describe your happiness today. Question Title * 10. How would you describe your overall health? Done
