Community Survey
"Golden Frog" Adult Day Care
Do you or a loved one currently need daytime care or supervision for an older adult or individual with disabilities?
Yes
No
Possibly in the future
N/A
What services are most important to you in an adult day care center? (Select all that apply)
Personal care assistance (bathing, grooming, etc.)
Social and recreational activities
Nutritious meals and snacks
Transportation
Medical or medication support
Other
What are your biggest concerns when choosing an adult day care center?
Safety and cleanliness
Quality of care
Staff training and friendliness
Affordability
Location
Other
How far would you be willing to travel for high-quality adult day care services?
Under 5 miles
5–10 miles
10–20 miles
Over 20 miles
How often would you need adult day care services?
1–2 times a week
3–4 times a week
5 days a week
Occasionally/as needed
Not sure yet
What days and hours would be most convenient for you or your loved one toattend an adult day care program?
Full-day (8 AM – 5 PM)
Half-day morning (8 AM – 12 PM)
Half-day afternoon (1 PM – 5 PM)
N/A
What age group would the potential participant fall into?
Under 60
60–69
70–79
80+
N/A
What type of support does your or your loved one currently receive?
None
In-home care
Family caregiving
Residential care
Adult Day Care Services
Other
What would make you feel confident choosing aspecific adult day care center?
Positive reviews/recommendation
Qualified, friendly staff
Clean and safe environment
Convenient location
Affordable pricing
Other
Would you be interested in additional servicessuch as caregiver support groups, health screenings, or family workshops?
Yes
No
Maybe
Not sure
I feel either my manager or a mentor encourages and supports my development.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Would you be interested in meeting with us tolearn more about our adult day care services and discuss how we can supportyour needs?
Yes
No
Maybe later
Would you be interested in visiting our adult day care center for a free full-day trial, where you or your loved one can participate in our daily activities and experience our care firsthand?
Yes
No
Maybe in the future
How did you hear about this survey?
Google search
Social media
Friend or family
Healthcare provider
Community center
Referral
Other
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