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| We are an International MBA team from the Arthur Lok Jack Graduate School of Business, currently conducting a feasibility study in starting a private geriatric and palliative care facility. This type of facility caters to the medical needs of geriatric persons and patients with terminal illnesses. This survey consists of 22 questions and will take you approximately 5 minutes to complete. The information collected will be treated with strict confidentiality. |
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| To what age bracket do you belong? |
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| Please select the monthly income range for your household |
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| What area in Trinidad and Tobago do you currently reside? | | |
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| Are you familiar with the term Geriatric Care? |
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| Are you familiar with the term Palliative care? |
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| Do you have any family members who are dependent on you for regular care and who require daily assistance? |
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| If yes, what type of assistance is required? |
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| If medical assistance is required, how often does the person visit a medical professional? |
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| Do you have any family members or friends who have been diagnosed with a terminal illness? |
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| If yes, how willing do you think they will be to utilize the palliative care services of a private facility? Please select one option, where 1 is not willing and 5 is very willing. |
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| How willing are you to utilize the services of a private geriatric and palliative care facility? Please select one option, where 1 is not willing and 5 is very willing. |
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| What factors would you consider in deciding to utilize the services of a private geriatric and palliative care facility? Select all that apply. |
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| What types of services would you expect from this facility? Select all that apply. |
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| From what age do you believe an adult day care and medical geriatric services will be most valuable? |
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| Which type of facility do you prefer? |
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| How much will you be willing to pay per month for adult day care and medical geriatric services? | | |
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| Do you have a preference for home visits or in-house treatments and services? |
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| How important is it to you that this type of facility be staffed with certified and qualified personnel? Please select one option, where 1 is not important and 5 is very important. |
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| What type of non medical activities would you expect to be offered in a private geriatric and palliative care center? Select all that apply. |
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| Do you know of any other facilities in your community that offer both medical geriatric care and palliative care services? |
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| If yes, please state the name of the facility. | | |
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| Do you agree that Santa Cruz is an ideal location for a private geriatric and palliative care facility? |
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