Caregivers Research Survey Name First Name Last Name Email Phone (###) ### #### Race Age Caregiver's Occupation Who are you caring for and what is their age? Is your loved one a veteran? Yes No Was the information at the Caregiver Workshop helpful? If so, how? Did you learn anything new at the event? Yes No If so, what did you learn? Did you feel included at the event? Yes No What did you enjoy most? Please explain. What would you like to see at our next workshop? What topics would you like Nurse T to discuss at the future workshops? Would you refer this workshop to other caregivers? Yes No Thank you for completing the survey. We were delighted to have you at the Caregiver Event!
