Complete the Survey Below Future Event Survey The Center for Caregiver Support is growing, and so are our groups and events. This survey should take approximately 10 - 15 minutes to fill out, and it will help us with tailoring our services with our Caregiver's needs in mind. How long have you been a Caregiver? Relationship to your loved one? (Daughter, Spouse, DIL, etc...) Where does your loved one currently live? (On their own, with family, Assisted Living, etc...) What diagnosis does your loved one have that you are dealing with? What Support Groups would you find helpful to your situation? Check ALL that apply: Alzheimer's/Dementia Group Parkinson's Group Family/Friends of someone with special needs Widow/Widower Group Spouse Support Group Early Onset Diagnosis Group for one with memory issues and their Caregiver Spanish Speaking Support Group Other Group Ideas: Please Elaborate What would be your days of choice for groups offered? Check ALL that apply: Monday Tuesday Wednesday Thursday Friday Saturday Sunday What would be your time of choice for groups offered? Check ALL that apply: 9-11am 11:00-1:00pm 1:00-3:00pm 3:00-5:00pm 5:00pm-7:00pm 7:00pm-9:00pm Do you prefer: In-person Zoom Either Are there any topics that you would be interested in hearing about?Are there any services that you are seeking that you would find helpful to discuss with other Caregivers in a group setting? Check ALL that apply: Home Care Home Health Adult Day Centers Assisted Living Independent Living Skilled Nursing Realtor Elder Law Attorney Financial Planner Medicare Consultant Physician Accountant Reverse Mortgage Specialist Care Manager Senior Placement Specialist Other: Please Specify Anything else you would like to add or share: We’re here to help Caregivers as best we can.
