"*" indicates required fields

**STOP** This survey should be completed ONLY on or after the last day of your training class.

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(MM/DD/YYYY)
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What best describes your reason for taking this class? * Required

Based on your current knowledge of this class, do you believe that the class content will enable you to fulfill your role as a paid or family caregiver? * Required



Which answer best describes your current level of confidence caring for an older adult? * Required
How would you rate your current knowledge of caregiving topics? * Required
How would you rate your current understanding about aging topics? * Required
How confident are you using a gait belt? * Required
How confident are you giving a bath to an immobile person? * Required
Rate your current skill level in transferring a dependent person? * Required
Rate your current ability to care for a person with memory impairment? * Required
How confident are you providing person-centered care for an older adult? * Required
Rate your ability to dress a person who requires assistance? * Required
How would you rate your current understanding of chronic disease? * Required


Please begin on a new line and number each new item.
Please begin on a new line and number each new item.
Begin on a new line and number each new item.