This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
To what extent did you need healthcare information (diagnostic info, treatment options, etc.)?
 
To a Very Small Extent
 
To a Small Extent
 
Somewhat
 
To a Great Extent
 
To a Very Great Extent
 
 
 
To what extent did you need information about services and resources (day programs, transportation services, assisted living, etc.)?
 
To a Very Small Extent
 
To a Small Extent
 
Somewhat
 
To a Great Extent
 
To a Very Great Extent
 
 
 
To what extent did you need emotional/coping support (someone to talk with, support group, counseling, etc.)?
 
To a Very Small Extent
 
To a Small Extent
 
Somewhat
 
To a Great Extent
 
To a Very Great Extent
 
 
 
How successful were you in obtaining needed healthcare information?
 
Very Unsuccessful
 
Unsuccessful
 
Neither Successful or Unsuccessful
 
Successful
 
Very Successful
 
What worked and what did not
 
 
 
How successful were you in obtaining needed information about services and resources?
 
Very Unsuccessful
 
Unsuccessful
 
Neither Successful or Unsuccessful
 
Successful
 
Very Successful
 
What worked and what did not?
 
 
 
How successful were you in obtaining emotional coping support?
 
Very Unsuccessful
 
Unsuccessful
 
Neither Successful or Unsuccessful
 
Successful
 
Very Successful
 
What worked and what did not?
 
 
 
How likely would you be to use a face-to-face support group?
 
Very unlikely
 
Unlikely
 
Neither Likely or Unlikely
 
Likely
 
Very Likely
 
 
 
How likely would you be to use an online support group?
 
Very unlikely
 
Unlikely
 
Neither Likely or Unlikely
 
Likely
 
Very Likely
 
 
 
How likely would you be to use peer support - talking to another person with a similar experience?
 
Very unlikely
 
Unlikely
 
Neither Likely or Unlikely
 
Likely
 
Very Likely
 
 
 
How likely would you be to use some other form of support?
 
Likely
 
Please describe:
 
Survey Software Powered by QuestionPro Survey Software