Surveys 2014 October G Group 1

Group 1

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If you answered yes to the previous question then continue. Was the person a family member?   Yes   No       If you answered yes to the previous question, then skip this question, if you answered no then continue. Was the person you were caring for a friend or a neighbor?   Friend   Neighbor       Are you currently a paid caregiver?   Yes   No       Are you a state certified caregiver?   Yes   No   I prefer not to say       Where do you provide that care for the person at (Check all that apply)   In their home   In your home   A nursing home   An assisted living facility   Multi-generational center   Other       Would you ever consider being part of a larger research study to raise the awareness of a cause that you believed in?   Yes   No