FINAL EVALUATION: CARE FOR THE CAREGIVER 
Participant Survey

It is important that we assess the outcomes of the project and the effectiveness of the process used. There are several aspects to this outcome evaluation: Part A assesses outcomes related to you as an individual participant and caregiver; Part B assesses the actual facility and the facilitation. Thank you for taking the time to share your insights with us.

	Part A:  	Individual Participant Insights and Outcomes 
Please respond to the following questions:

1.  Do you believe the Care for the Caregiver workshops have had any impact on the way you provide care?
		�  yes		�  no		�  don’t know
Please  explain   ______________________________________________________________  

2.  Do you believe the workshops have had any impact on the way you see yourself as a caregiver?
		�  yes		�  no		�  don’t know
Please  explain  ______________________________________________________________

3.  Do you believe the workshops have had any other impact on you as an individual?
		�  yes		�  no		� don’t know
Please  explain _____________________________________________________

4.   Have you spoken to others about caregiving issues since starting the workshops?
	� yes, to my family and friends
	� yes, to service providers
	� yes, to other family caregivers
	� yes, to people in my community
	� no
			
	Part B:  	The Workshops
Please respond to the following questions on the overall effectiveness of the workshops.

1.  Please comment on your satisfaction with the room/facility where the workshops were held.
	� very satisfactory	� satisfactory	� unsatisfactory	
Please  explain  _____________________________________________________

2.  Did you find the workshop facilitators easily accessible and helpful during the workshops?
	� yes 		� no			� no opinion
Please  explain  _____________________________________________________ 

3.  How would you rate the flow of communication from the facilitators to you?
	� just right		� adequate		� too little		� too much
Please  explain _____________________________________________________

4.  Was the material supplied for the workshops helpful?
	� yes, very helpful 		� no		� somewhat helpful
Please comment ____________________________________________________

5.  Please indicate below any suggestions that you have to improve the Care for the Caregiver Program.			

Thank you for taking the time to complete this survey.  (