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Caregiver Support Group Evaluation
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Date of session last attended:
*
MM
/
DD
/
YYYY
Please check the number that best matches how you feel :
(1 = strongly disagree, 2 = disagree, 3 = neither agree nor disagree, 4 = agree, 5 = strongly agree)
Attending this support group....
Gives me a non-judgmental place to talk about my experiences as a caregiver.
1
2
3
4
5
Clear selection
Reduces my anxiety level about my care-giving experience.
1
2
3
4
5
Clear selection
Helps me feel less isolated in my care-giving.
1
2
3
4
5
Clear selection
Helps me learn strategies for coping with care-giving responsibilities.
1
2
3
4
5
Clear selection
The facilitator(s) of the group was/were:
Knowledgeable about care-giving issues.
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2
3
4
5
Clear selection
Makes sure everyone got a chance to speak.
1
2
3
4
5
Clear selection
Accepting of my feelings.
1
2
3
4
5
Clear selection
Helpful in exploring strategies for care-giving.
1
2
3
4
5
Clear selection
The best thing about this group was...
I would change...
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