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RCAW Grant Impact Survey
You are receiving this survey because you received funding through one of RCAW’s grant programs. As part of our commitment to supporting family caregivers, RCAW has secured federal funding that requires us to track the hours and impact of these funds.To remain eligible for future grants from RCAW, we kindly ask you to complete this survey within five business days of receiving the link.The purpose of this survey is to measure the impact of the grant by assessing how recipients self-evaluated their wellness across the following areas before and after receiving respite funds:
Emotional
Financial
Social
Spiritual
Occupational
Physical
Intellectual
Environmental
These domains of wellness are based on the framework from Swarbrick, M. (2006). A Wellness Approach. Psychiatric Rehabilitation Journal, 29(4), 311–314.Please note that by completing this form, you agree to allow RCAW to use your responses for data analysis. Your name and any identifying information will remain confidential, and all data will be reported anonymously. Thank you for helping us ensure the continued success and impact of our grant programs. If you have any questions about the survey, please contact us at [email protected].This program is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $2,042,074 with 75% percentage funded by ACL/HHS and $689,234 with 25% percentage funded by State of Wisconsin source(s). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.
How would you rate your emotional wellness BEFORE receiving RCAW grant funds? Emotional wellness is coping effectively with life and creating satisfying relationships.1 = Poor 2 = Fair 3 = Good 4 = Very Good 5 = Excellent
How would you rate your financial wellness BEFORE receiving RCAW grant funds? Financial wellness is satisfaction with current and future financial situations.1 = Poor2 = Fair3 = Good4 = Very Good5 = Excellent
How would you rate your social wellness BEFORE receiving RCAW grant funds? Social wellness is developing a sense of connection, belonging, and a well-developed support system. 1 = Poor2 = Fair3 = Good4 = Very Good5 = Excellent
How would you rate your spiritual wellness BEFORE receiving RCAW grant funds? Spiritual wellness is expanding our sense of purpose and meaning in life. 1 = Poor 2 = Fair 3 = Good 4 = Very Good 5 = Excellent
How would you rate your occupational wellness BEFORE receiving RCAW grant funds? Occupational wellness is personal satisfaction and enrichment derived from one’s work. 1 = Poor 2 = Fair 3 = Good 4 = Very Good 5 = Excellent
How would you rate your physical wellness BEFORE receiving RCAW grant funds? Physical wellness is recognizing the need for physical activity, diet, sleep, and nutrition. 1 = Poor 2 = Fair 3 = Good 4 = Very Good 5 = Excellent
How would you rate your intellectual wellness BEFORE receiving RCAW grant funds? Intellectual wellness is recognizing creative abilities and finding ways to expand knowledge and skills. 1 = Poor 2 = Fair 3 = Good 4 = Very Good 5 = Excellent
How would you rate your environmental wellness BEFORE receiving RCAW grant funds? Environmental wellness is good health by occupying pleasant, stimulating environments that support well-being.1 = Poor2 = Fair3 = Good4 = Very Good5 = Excellent
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