Next Step in Care: Family Caregivers & Health Care Professionals Working Together

Home Care Agency Surveys


The practice self-assessment surveys can provide answers to some key issues around transitional care. For example: does your agency know how well it manages transitions?  Does it involve caregivers in discharge planning? Does it assess a caregiver’s ability and willingness to assist their family member after the end of home care?  

A staff survey and a companion caregiver survey are available in fillable PDF format.  The caregiver surveys are available in English, Spanish, traditional Chinese, and Russian.  If you want to add questions (for example, about a specific patient population), please contact us at 212-494-0760 or  We will be pleased to work with you to make necessary adaptations.

Staff Surveys

Family Caregiver Surveys:    English    Spanish    Chinese    Russian

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