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Service Specific Surveys

Service Specific surveys are designed to evaluate service rendered under Title III OAA. The links below will take you to the survey instruments. A brief description of each survey instrument follows the link.

  • Caregiver Services Survey Instrument — This survey instrument focuses on the amount and type of care provided by the caregiver, the burdens and rewards of caregiving, impact on employment, the health of the caregiver, and information needs.
  • Case Management Survey Instrument — The survey instrument contains items on the length of time services have been received, consumer assessment of the service, and the ways in which case management has helped the service recipient.
  • Congregate Meals Survey Instrument — The survey instrument contains items on the length of time service recipients have used the service, the contribution of the congregate meal to daily food intake in total and by food group, consumer assessment of the meal, self-reported outcomes, and food security.
  • Home-Delivered Meals Survey Instrument — This survey instrument focuses on the extent of participation in the program, its contribution to service recipients’ total food intake, consumer assessment of the program, self-reported program outcomes, and food security.
  • Transportation Survey Instrument — This survey instrument focuses on the frequency of the use of the service, consumer assessment of the service (including drivers and vehicles) self-reported outcomes, and reasons for using the service (e.g., doctor’s appointments, shopping, etc.).

Cross-Cutting Survey Modules

Cross-Cutting survey modules are considered so because they concentrate on the individual client and not just a particular service. These surveys are specifically designed to collect general information on service recipient characteristics, gauge their perceptions of the care provided, and the level of care needed. Administration of these survey instruments is concurrent with the service specific survey instruments.

Individually these surveys return specific data sets. When interpreted together with the service-specific surveys, they return a more complete picture the impact of services received.

  • Additional Services Received Module— This module contains items asking the service recipients whether they received any other services.
  • Demographics Module — This module contains items that ask for gender, birth year, level of education, race, ethnicity, marital status, number of persons in the household, and income.
  • Physical Functioning and Health Module — This module contains a self-rating of physical health, the use of assistive devices, the number of medications, and overnight stays in a hospital or nursing home.
  • Social and Emotional Well-Being Module — This module focuses on the amount of contact with other persons (e.g., friends, neighbors, family), satisfaction with the amount of contact, and the extent to which service recipients feel stress, grief, worry, anger or loneliness.