This free survey is powered by QUESTIONPRO.COM
  1. Surveys
  2. 2011
  3. September
  4. F
  5. Future Planning
0%
Exit Survey »
 
 
Thank you for filling this survey to learn about your interest in future planning programming at Padua Homes. Your responses will help us learn how to better serve you and your child well-aging needs.
Future planning is _____
 
 
 
How prepared do you feel regarding future planning for you and your child?
 
1 Not Very Prepared
 
2
 
3
 
4
 
5 Very Prepared
 
 
 
What concerns you most about future planning?
   
 
 
Here is a list of topics pertaining to future planning. For which of these topics would you like to receive additional information?
Very Interested Somewhat Interested Not Interested Right Now
Future Living Situations
Disabiilties and Age-Related Health Problems
Openly Discussing Death and Dying
Enabling my Child to Make Their Own Heath Care Decisions
Making Surrogate Decisions About Heath Care Decisions
Creating Trusts and Wills
Organ Donation
 
 
 
How interested would you be in having Casa Colina/Padua Village help you with these issues?
 
Very Interested
 
Somewhat Interested
 
Not Interested
 
 
How interested would you be in learning about future planning through these formats?
Very interested Somewhat interested Not interested right now
Reading Material
Legal and Financial Templates
Referrals
Parent/Conservator Workshops (Parent Only)
Parent/Conservator Workshops (Child Present)
Individual Support (Parent Only)
Individual Support (Child Present)
 
 
 
 
How interested would you be in having Casa Colina/Padua Homes help your child with future planning?
 
Very Interested
 
Somewhat Interested
 
Not Interested
 
 
 
We understand that your child might have his or her own worries about health or the future.
How could Casa Colina/Padua Homes support your child preparing for these issues? If so, how?
   
 
 
 
Thank you for sharing your thoughts. Are there any other recommendations you have about how Padua can help with future planning for your family?
   
 
Survey Software Powered by QuestionPro Survey Software