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Parkinson’s Care Partner Training Pre-Course Survey

Parkinson's Care Partner Training Pre-Course Survey

Thank you for taking the time to complete this short survey to help us learn a little bit more about you as we begin this course together. Your information is always private, and we never share it with anyone outside of the organization.
1. What is your gender? *This question is required.
This question requires a valid number format.
3. Are you of Hispanic, Latino, or Latinx origin? *This question is required.
4. What is your race? (pick as many as applicable) *This question is required.
5. Are you currently providing unpaid care or have you previously provided unpaid care for someone living with Parkinson’s? *This question is required.
This question requires a valid number format.
7. How many hours per week do you provide Parkinson’s-specific care for your loved one? *This question is required.
8. Have you received Parkinson’s care partner-specific training in the past? *This question is required.
9. How confident are you in your ability to provide all the care your person with Parkinson’s currently needs? *This question is required.
10. Please indicate if your person with Parkinson’s has experienced or currently experiences any of the following (choose as many as applicable): *This question is required.
11. Please indicate if YOU have any of the following comorbidities (choose as many as applicable): *This question is required.