2 Month Post-Module Survey: Caregiver Assessment

Primary Care Discipline

Resident or APRN Student
Family Practice
Internal Medicine
Geriatrics
Other

How many assessments of caregiver burden in caregivers of PLwD have you averaged per week since the completion of the caregiver modules?

Zero
1-5
6-10
11+

How many referrals to community resources have you averaged per week on behalf of the caregiver of a PLwD since the completion of the caregiver modules?

Zero
1-5
6-10
11+

Overall did you find the caregiver modules useful for increasing your knowledge regarding early assessment for caregiver burden and making subsequent referrals to community resources as indicated?

Yes
No