{"id":7555,"date":"2021-04-02T07:47:09","date_gmt":"2021-04-02T12:47:09","guid":{"rendered":"https:\/\/uamscaregiving.org\/springdale\/?page_id=7555"},"modified":"2026-02-06T13:31:50","modified_gmt":"2026-02-06T19:31:50","slug":"post-cgss","status":"publish","type":"page","link":"https:\/\/uamscaregiving.org\/springdale\/post-cgss\/","title":{"rendered":"Post-Caregiver Support Survey"},"content":{"rendered":"<p>Please take a moment to fill out this brief survey to help ensure that we are providing valuable programs to our community.<\/p>\n<p>By completing the survey you help us to continue to offer these programs at no cost to you.<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_150'  action='\/springdale\/wp-json\/wp\/v2\/pages\/7555' data-formid='150' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_150' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_150_23\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_150_23\" ><label class='gfield_label gform-field-label' for='input_150_23'>What is today&#039;s date?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' 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gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_150_18\" ><label class='gfield_label gform-field-label' for='input_150_18'>Enter your birthday<\/label><div class='gfield_description' id='gfield_description_150_18'><strong><i>(MM\/DD\/YYYY)<\/i><\/strong><\/div><div class='ginput_container ginput_container_date'>\n                            <input aria-describedby='field_150_18_dmessage' name='input_18' id='input_150_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_150_18_date_format gfield_description_150_18\" aria-invalid=\"false\" \/>\n                            <span id='input_150_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_150_18' class='gform_hidden' value='https:\/\/uamscaregiving.org\/springdale\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_150_41\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_150_41\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_150_41'>\n                            \n                            <span id='input_150_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.3' id='input_150_41_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_150_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_150_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_41.6' id='input_150_41_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_150_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/fieldset><fieldset id=\"field_150_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_150_25\" ><legend class='gfield_label gform-field-label' >Which answer best describes your current knowledge about caregiving?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_150_25'>\n\t\t\t<div class='gchoice gchoice_150_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='4'  id='choice_150_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_25_0' id='label_150_25_0' class='gform-field-label gform-field-label--type-inline'>Excellent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='3'  id='choice_150_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_25_1' id='label_150_25_1' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='2'  id='choice_150_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_25_2' id='label_150_25_2' class='gform-field-label gform-field-label--type-inline'>Fair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_25_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='1'  id='choice_150_25_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_25_3' id='label_150_25_3' class='gform-field-label gform-field-label--type-inline'>Poor<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/fieldset><fieldset id=\"field_150_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_150_26\" ><legend class='gfield_label gform-field-label' >How would you rate your understanding of dementia?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_150_26'>\n\t\t\t<div class='gchoice gchoice_150_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='4'  id='choice_150_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_26_0' id='label_150_26_0' class='gform-field-label gform-field-label--type-inline'>Excellent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='3'  id='choice_150_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_26_1' id='label_150_26_1' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_26_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='2'  id='choice_150_26_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_26_2' id='label_150_26_2' class='gform-field-label gform-field-label--type-inline'>Fair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_26_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='1'  id='choice_150_26_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_26_3' 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)'    \/>\n\t\t\t\t\t<label for='choice_150_27_0' id='label_150_27_0' class='gform-field-label gform-field-label--type-inline'>Excellent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='3'  id='choice_150_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_27_1' id='label_150_27_1' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_27_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='2'  id='choice_150_27_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_27_2' id='label_150_27_2' class='gform-field-label gform-field-label--type-inline'>Fair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_27_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='1'  id='choice_150_27_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_27_3' id='label_150_27_3' class='gform-field-label gform-field-label--type-inline'>Poor<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/fieldset><fieldset id=\"field_150_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_150_30\" ><legend class='gfield_label gform-field-label' >How would you rate your understanding of where to find help and resources?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_150_30'>\n\t\t\t<div class='gchoice gchoice_150_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='4'  id='choice_150_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_30_0' id='label_150_30_0' class='gform-field-label gform-field-label--type-inline'>Excellent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='3'  id='choice_150_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_30_1' id='label_150_30_1' class='gform-field-label gform-field-label--type-inline'>Good<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_150_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='2'  id='choice_150_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_150_30_2' id='label_150_30_2' class='gform-field-label gform-field-label--type-inline'>Fair<\/label>\n\t\t\t<\/div>\n\t\t\t<div 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