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Surveys
2011
May
C
Caregiver Assessment
Caregiver Assessment
0%
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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:
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