1 2 -7 -8 c. Find it easier to care for {CARE RECIPIENT}? d. Have a clearer understanding of how to get the services {you/ 1 2 -7 -8 NAME OF CAREGIVER} and {CARE RECIPIENT} need? 1 2 -7 -8 e. Know more about {CARE condition or illness? RECIPIENT’s} FENCEPOST CG9A. {Do you/Does NAME OF CAREGIVER} think that {CARE RECIPIENT} benefits from the caregiver services {you receive/NAME OF CAREGIVER receives}? (CGAFECF) YES 1 NO 2 REFUSED -7 -8 DON’T KNOW CG10. Have these caregiver services helped {you/her/him} to be a better caregiver? (CGHELP) YES 1 NO 2 REFUSED -7 -8 DON’T KNOW CG11. Have these caregiver services enabled {you/NAME OF CAREGIVER} to provide care for {CARE RECIPIENT} for a longer time than would have been possible without these services? (CGCARLG) YES, 1 NO 2 REFUSED -7 -8 DON’T KNOW CG12. Overall, how would {you/ NAME OF CAREGIVER} rate the caregiver support services {you have/s/he has} received? Would {you/ NAME OF CAREGIVER} say… (CGRATE) Excellent, 1 Very good, 2 Good, 3 Fair, or 4 Poor? 5 REFUSED -7 -8 DON’T KNOW
c. Find it easier to care for {CARE RECIPIENT}? 1 2 -7 -8 d. Have a clearer understanding of how to get the services {you/ NAME OF CAREGIVER} and {CARE RECIPIENT} need? 1 2 -7 -8 e. Know more about {CARE RECIPIENT’s} condition or illness? 1 2 -7 -8 FENCEPOST CG9A. {Do you/Does NAME OF CAREGIVER} think that {CARE RECIPIENT} benefits from the caregiver services {you receive/NAME OF CAREGIVER receives}? (CGAFECF) YES 1 NO 2 REFUSED -7 DON’T KNOW -8 CG10. Have these caregiver services helped {you/her/him} to be a better caregiver? (CGHELP) YES 1 NO 2 REFUSED -7 DON’T KNOW -8 CG11. Have these caregiver services enabled {you/NAME OF CAREGIVER} to provide care for {CARE RECIPIENT} for a longer time than would have been possible without these services? (CGCARLG) YES, 1 NO 2 REFUSED -7 DON’T KNOW -8 CG12. Overall, how would {you/ NAME OF CAREGIVER} rate the caregiver support services {you have/s/he has} received? Would {you/ NAME OF CAREGIVER} say… (CGRATE) Excellent, 1 Very good, 2 Good, 3 Fair, or 4 Poor? 5 REFUSED -7 DON’T KNOW -8
12th_NSOAAP_Survey_Instrument_06.16.2017.docx