Respite Services Satisfaction Questionnaire 2019

The ALS Association is dedicated to providing you with resources you need to live a fuller life and better meet the daily challenge of living with ALS. You have received Respite Services and your feedback helps us to continue to provide high quality services to those living with ALS. Respite services may include things such as assistance with daily activities like bathing, assisting with chores around your home or light housekeeping. Please have the primary caregiver complete this survey.

 

Decrease Stress and Frustration
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Question - Required - The non-medical respite care program helped reduce the amount of stress that went along with my loved one being diagnosed with the disease.




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Question - Required - The non-medical respite care program reduced the possible amount of financial strain that could have went along with having to hire outside assistance to get these tasks accomplished.




 

Respite Provider
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Question - Required - The non-medical respite provider was knowledgeable about ALS.




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Question - Required - The non-medical respite provider was timely with communication and assisted with tasks requested.




 

Primary Caregiver's Quality of Life
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Question - Required - The primary caregiver was given caregiver assessments at each clinic to evaluate my current needs.




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Question - Required - With the help of the non-medical respite care program, I did not have to seek additional outside hired support.




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Question - Required - The non-medical respite care program increased my quality of life.




 

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