Impact CI-Caregiver Survey


An example of a comprehensive caregiver survey that was administered as part of a multifaceted, IT-based medication optimization program. In the survey, the caregiver self-reports information about the types of tasks that they do for the individual/patient, how they help in medication administration and tracking, and their assessment or concerns regarding the patient’s medication use and symptoms, and the patient’s experience with health care services.


Program managers and evaluators.

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This example has a specific purpose, to assess the satisfaction with and effectiveness of a medication optimization technology, but it may be a useful reference for developing other types of caregiver assessments.

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