Questionnaire

This is just one way to get people connected with this blog and with my platform. 
This is easy and so helpful and supportive.
 Any information is appreciated.
If you could PLEASE take a few minutes and fill this 17 question survey about your personal experiences with Care Centers that would be so awesome. 
If you absolutely do not know an answer just skip it and fill out the rest of the questions.
Just answer them (copy and paste the questions if you want. numbering your answers would be easiest for me.) in the comment section or if you want to keep it private please email them to me at geezmccall@gmail.com

If you have no idea what a Care Center is or what my platform is go to this link and find out. Then come right back and fill this easy questionnaire out.

If you have personal connections with Care Center residents 
please fill out 
Questionnaire One.

If you consider yourself as part of the "youth" (mostly teenagers)
 You get to fill out ANOTHER one! :)
Don't exit out of this page! 
THESE ARE NOT TESTS! THESE ARE EASY!! 
Just fill out 
Questionnaire Two.

You can leave your name or leave it anonymous. 

Questionnaire One:
 If you know someone in a Care Center:
  1. Do you have any relatives in a Care Center? What is the relation? 
  2. If you answered no, how is this Care Center Resident connected to you? (Friend, Neighbor, etc.)
  3. How long have they been in a Care Center? 
  4. Have they remained in one single Care Center?
  5. How far away is the Care Center from YOUR home?
  6. How far away is the closest (in distance) family member to this resident in the Care Center?
  7. Is this resident in the Care Center married?
  8. What reason are they in the Care Center for? Disease? Disability? Choice? etc. (Expound and share stories.) 
  9. How often do you visit this resident?
  10. Do they leave the Care Center? (visits, trips, community events, etc.)
  11. Would you think of them as "involved in their community?"
  12. Do you think your local Care Center advertised and apart of your community's constant support?
  13. Do you help and serve the elderly in your community often? How often?
  14. Name five (or as many as you can, if you know more or less) different diseases or disabilities elderly might have:
  15. Do YOU think that youth often visit them on their own time?
  16. Do you think Elderly people are wise and should be given the highest respect?
  17. Do you have any feedback or advice for me?
Questionnaire Two:
 Youth:
  1. Have you ever been to a Care Center before?
  2. If not, would you like to go to one? 
  3. Do enjoy being around elderly people?
  4. Do you have relatives or family friends in a Care Center?
  5. Are you/ were you apart of any extra curricular activities during the school year?
  6. Have you ever visited your local Care Center with your club, group, team, youth group? If so, what was the name of this group?
  7. Did you enjoy visiting the Care Center?
  8. Do you ever consider what you will be like when you are old?
  9. What is the first thing that comes to mind when you hear "Old Folks Home" or "Senior Center"?
  10. What do you think the number one reason elderly are in Care Centers for?
  11. Name five (or as many as you can, if you know more or less) different diseases or disabilities elderly might have:
  12. Do the elderly scare you? 
  13. Do you ever see elderly people involved in the community?
  14. Do you help and serve the elderly in your community often? How often?
  15. Do you think your local Care Center advertised and apart of your community's constant support?
  16. Do you think these Care Centers are important?
  17. Do you think Elderly people are wise and should be given the highest respect? 
I will make a new page with all of the info I gathered from this questionnaire and keep updating it every time somebody else fills out these questions.

THANK YOU! THANK YOU! THANK YOU!!

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