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護老者支援服務意見調查問卷

Feedback Questionnaire on Elder Care Support Service for Caregivers

此調查問卷目的乃評估Agewhale 提供護老者支援服務的成效，以提升服務質素及發展更切合護老者需要的服務。煩請你花約數分鐘填寫此問卷，所提供的意見會保密。謝謝你給予寶貴的意見！


The purpose of this questionnaire is to evaluate the effectiveness of elder care support service provided by our organization, which can help improve service quality and develop services that better meet the needs of caregivers. This questionnaire should only take around a few minutes to complete.  Your comments will be kept confidential.  Thank you for your valuable feedback!

姓名 Name

1. 此服務能有助你 This service can help you :

(1 - 非常不同意 Strongly Disagree，10 - 非常同意 Strongly Agree)

a. 了解合適的社區服務或資源以支援照顧長者 Learn about appropriate community services or resources to support and care for the elderly

a. 了解合適的社區服務或資源以支援照顧長者 Learn about appropriate community services or resources to support and care for the elderly

b. 減少因照顧長者引致的負面情緒（如：徬徨、擔憂）Reduce negative emotions caused by caring for the elderly (e.g : confusion, worry)

b. 減少因照顧長者引致的負面情緒（如：徬徨、擔憂）Reduce negative emotions caused by caring for the elderly (e.g : confusion, worry)

c. 紓緩照顧壓力及負擔 Relieve the stress and burden of caregiving

c. 紓緩照顧壓力及負擔 Relieve the stress and burden of caregiving

d. 減少因照顧長者而對工作造成負面的影響 Reduce the negative impact on work caused by caring of the elderly

d. 減少因照顧長者而對工作造成負面的影響 Reduce the negative impact on work caused by caring of the elderly

e. 認識工作與照顧長者間取得平衡的方法 Learn methods to balance work and caring for the elderly

e. 認識工作與照顧長者間取得平衡的方法 Learn methods to balance work and caring for the elderly

2. 照顧計劃切合你的需要 The care plan is tailored to your needs

2. 照顧計劃切合你的需要 The care plan is tailored to your needs

3. 協調服務安排妥善（如沒有此安排，請跳答第4題。）Coordination of service arrangements is done properly(Skip to question 4 if no such arrangements are made)

3. 協調服務安排妥善（如沒有此安排，請跳答第4題。）Coordination of service arrangements is done properly(Skip to question 4 if no such arrangements are made)

4. 諮詢服務時間合適 The consultation service time is appropriate

4. 諮詢服務時間合適 The consultation service time is appropriate

5. 諮詢服務形式（電話/視像）合適 The consultation service format (phone/video call) is appropriate

5. 諮詢服務形式（電話/視像）合適 The consultation service format (phone/video call) is appropriate

6. 諮詢服務回應時間合理 The response time of consultation service is reasonable

6. 諮詢服務回應時間合理 The response time of consultation service is reasonable

7. 職員解說清楚及表現專業 Staff explanations are clear and professional

7. 職員解說清楚及表現專業 Staff explanations are clear and professional

8. 滿意整體服務 Overall satisfaction with the service

8. 滿意整體服務 Overall satisfaction with the service

9. Agewhale以下那項支援服務對你最大幫助？（最多可選兩項）Which of the following Agewhale's support services is most helpful to you?  (Choose up to two items）

9. Agewhale以下那項支援服務對你最大幫助？（最多可選兩項）Which of the following Agewhale's support services is most helpful to you?  (Choose up to two items）
A
B
C
D
E

10. 你是否希望僱主繼續提供Agewhale的支援服務給員工作為福利計劃一部份？Would you like your employer to continue providing Agewhale’s support services to employees as part of their benefit plans?

10. 你是否希望僱主繼續提供Agewhale的支援服務給員工作為福利計劃一部份？Would you like your employer to continue providing Agewhale’s support services to employees as part of their benefit plans?
A
B

11.日後如你有需要使用此服務但僱主未能提供，你是否會考慮自付費用使用？If you need to use this service in the future but your employer cannot provide it, would  you consider paying for our service yourself?

11.日後如你有需要使用此服務但僱主未能提供，你是否會考慮自付費用使用？If you need to use this service in the future but your employer cannot provide it, would  you consider paying for our service yourself?
A
B

12. 你會向同事或親友推薦Agewhale的支援服務的可能性有多大？(1 - 完全不可能，10 - 極有可能) How likely are you to recommend Agewhale's support services to colleagues, relatives or friends? (1 - Not likely at all, 10 - Very likely)

12. 你會向同事或親友推薦Agewhale的支援服務的可能性有多大？(1 - 完全不可能，10 - 極有可能) How likely are you to recommend Agewhale's support services to colleagues, relatives or friends? (1 - Not likely at all, 10 - Very likely)

13. 其他意見（如有）Other comments (if any) :

14. 你的支持對我們非常重要，有助我們將來為更多照顧者提供服務。請問你是否願意為我們撰寫公開評論，讓我們在網站及社交媒體平台上展示？Your support is very important to us and will help us serve more caregivers in the future.  Would you be willing to write a public review for us to be featured on our website and social media platforms?

14. 你的支持對我們非常重要，有助我們將來為更多照顧者提供服務。請問你是否願意為我們撰寫公開評論，讓我們在網站及社交媒體平台上展示？Your support is very important to us and will help us serve more caregivers in the future.  Would you be willing to write a public review for us to be featured on our website and social media platforms?
A
B