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The PTRC is monitoring COVID-19 and incorporating operational modifications as needed to protect the citizens we serve, our members, our partners, and our staff.  Our office will re-open on Monday, May 18th to staff, however, the office is still closed to visitors without a prior appointment.   Where applicable, meetings will continue to be held via teleconference. Staff will be available via phone and email. More

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Friendship Adult Day Services

Please correct the field(s) marked in red below:

1
Do you currently receive respite, caregiver education or support services from Friendship Adult Day Services?
Do you currently receive respite, caregiver education or support services from Friendship Adult Day Services?
2
If you receive respite, caregiver education or support services, have you found these services to be beneficial to you as a caregiver?
If you receive respite, caregiver education or support services, have you found these services to be beneficial to you as a caregiver?
3
Do you have more time for personal activities?
Do you have more time for personal activities?
4
Do you feel less stress?
Do you feel less stress?
5
Do you have a clearer understanding of how to get the services needed by you and the person you are caring for?
Do you have a clearer understanding of how to get the services needed by you and the person you are caring for?
6
Do you know more about the condition or illness of the person you are caring for?
Do you know more about the condition or illness of the person you are caring for?
7
Do you feel more confident in providing care?
Do you feel more confident in providing care?
8
Do you believe that the services enable you to provide care longer?
Do you believe that the services enable you to provide care longer?
9
Would the person you are caring for have been able to continue to live in the same home if caregiver and/or care receiver services had NOT been provided?
Would the person you are caring for have been able to continue to live in the same home if caregiver and/or care receiver services had NOT been provided?
10
As a result of information, referrals, and assistance you received, were you able to maintain employment or obtain new employment?
As a result of information, referrals, and assistance you received, were you able to maintain employment or obtain new employment?
11
How would you rate the services overall?
How would you rate the services overall?
12
Would you recommend the service(s) to friends, neighbors, and relatives?
Would you recommend the service(s) to friends, neighbors, and relatives?
13
From your perspective, how could these services be improved?
14
What caregiver services do you need that you are not receiving now?
15
What is your gender?
What is your gender?
16
In what decade were you born?
In what decade were you born?
17
What is your highest level of education?
What is your highest level of education?
18
Are you Spanish, Hispanic, or Latino?
Are you Spanish, Hispanic, or Latino?
19
What is your race?  Check all that apply.
What is your race? Check all that apply.
20
What is your marital status?
What is your marital status?
21
Where is your home located?  Would you say....
Where is your home located? Would you say....
22
We'd like to ask about who lives in your household.  You may check more than one answer.  Do you...
We'd like to ask about who lives in your household. You may check more than one answer. Do you...
23
Who are you providing care for?
Who are you providing care for?
24
How many people live in your household, including yourself?
How many people live in your household, including yourself?
25
What category best describes your total gross household annual income for the last 12 months?  Would you say...
What category best describes your total gross household annual income for the last 12 months? Would you say...
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