TCARE Personal Caregiver Survey

Looking for help? A first step in learning about you as a caregiver begins with completing the Personal Caregiver Survey.  Here you will be asked to reflect on your caring experience and rate your responses to a series of statements.  It should take about 10 minutes.  This survey is then used to help you and a Caregiver Advocate gain a better understanding of your overall situation and assist in tailoring services to address your specific needs.

There are two ways you can complete the Personal Caregiver Survey:

  1. Contact Pathways Information & Assistance at 206.448.3110 or 1.888.435.3377 — they will connect you with a Caregiver Advocate who can meet you in person to fill out the form.
  2. Download the survey to your computer. Then print and mail it to the contact info below:

Caregiver Personal Survey (PDF)

Caregiver Personal Survey (Word File)

Caregiver Support Program
2208 Second Ave, Suite 100
Seattle, WA 98121

caregiver@soundgenerations.org

A Caregiver Advocate will contact you to discuss your caregiving situation and the results of your survey and explore the resources and options that best fit your needs.

The Tailored Caregiver Assessment and Referral (TCARE®) Personal Caregiver Survey  was developed by Rhonda Montgomery Ph.D. at the University of Wisconsin and colleagues.