Family Caregiving Survey
Hello! Thank you for your interest in participating in this survey! At Spark Financials, we aim to help Family Caregivers balance their money, time, and heart to care for everyone they love. Please complete the following questions so I can create content that will best serve you. Participants who choose to be contacted, will not be solicited. Unless you state your name and email, your responses will be completely anonymous. By completing this survey, you are permitting me to use your information to generate ideas to build content, such as blogs. This survey should take you approximately 10 minutes to complete. Phone option for completing this survey is available, please email dm@spark-fin.com to learn more about this option.
Do you live in the US?
Please Select
Yes
No
Does this describe you? A person who tends to the needs or concerns of a family member with short-term or long-term limitations due to illness, injury or disability.
Please Select
Yes, this describes me
No, this doesn't describe me
What gender do you identify with?
Please Select
Female
Male
Non-Binary
Prefer not to state
Other
How old are you?
Which category best describes you?
Please Select
American Indian or Native Alaskan
Asian
Black or African American
Hispanic, Latino, or Spanish Origin
White
Pacific Islander
Prefer not to Answer
Other
What is your yearly household income?
Please estimate your current assets(including your retirement accounts, home, savings, business assets, etc)
Please estimate you current liabilities, not including your mortgage. This includes credit card debt, student loans, and car loans.
Please describe your family caregiving role:
Who do you care for?
Adult Child
Parent
Aunt/Uncle
Minor Child
Grandparent
Other
How has being a caregiver impacted your achievement of goals(personal, professional, and financial)?
What support is needed to help achieve your goals?
How would you rate your overall health on a scale of 1 to 5?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
If you rated yourself lower than a "4", why do you feel that way?
Does your aging loved one have long-term care insurance?
Please Select
Yes
No
Unsure
Please describe your elderly loved one's situation:
Does your aging loved one have a will, trust, health care directives or power of attorney set up?
Please Select
Yes, all of the above
No, only some of the above
None of the above
Please describe what financial struggles have you experienced by being a caregiver:
If you had a magic wand and could change everything about your situation, what would you change?
What professionals are you working with for your aging loved one? (please check all that apply)
Financial Advisor
Geriatric Care Manager
Money Manager
Estate Attorney
None of the Above
Other
If you have worked with a financial advisor, what was the experience like?
Include your first name and email here if you would be willing to complete a 60 minute interview via zoom about your caregiving roles:
Please include your first name and email here if you would like to have a copy of the survey results:
Submit
Should be Empty: