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Cooperative Extension Service |
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Agricultural
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4-H Programs
Life Skills
Evaluation
Dale Bumpers College
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Financing Long-Term Care
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| Program Location _________________ | Program Date _________________ |
Critical Conversations About Financing Long-Term Care Program Evaluation
The purpose of this program was to increase awareness of the need to plan for
changing health and independence as a later-life event impacting financial
security and help consumers identify and communicate strategies to manage the
risk of long-term care. Now that you’ve completed the program, we’d like to ask
you a few questions about the experience and what you learned. Answering these
questions is voluntary. Neither your name nor any other information that may
identify you personally will be included in any public summary or report of
responses to these questions.
Please CIRCLE the number that best describes your answers to the following questions:
1. As a result of this program, I can define what long-term care means.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
2. As a result of this program, I can identify who’s most at risk of needing long-term care.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
3. As a result of this program, I can identify the potential costs of long-term care.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
4. As a result of this program, I can identify the facts about who really pays for long-term care.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
5. As a result of this program, I can identify strategies I can use to protect my later-life financial security from the risk of long-term care.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
6. As a result of this program, I understand the importance of sorting out later-life financial goals and expectations.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
7. As a result of this program, I understand the benefits of taking action now versus waiting until a long-term care crisis occurs.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
8. As a result of this program, I have discovered new resources to help me make more informed decisions.
| Strongly Disagree |
Disagree | Neither Agree / Disagree |
Agree | Strongly Agree |
|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 |
9. How would you rate this overall session?
| Of No Value | Some Value | Valuable | Very Valuable |
|---|---|---|---|
| 1 | 2 | 3 | 4 |
10. Based on your participation in this session, please complete the
following questions.
I learned…
I became aware of…
I changed my attitude about…
I plan to change my behavior by…
11. Additional Comments:
Developed by Marlene S. Stum, Ph.D., Financial Security in Later Life National Initiative Development Team Member from Family Social Science, University of Minnesota. 2002.
Recommended by Judith R. Urich, Ph.D., CFP, Family Resource Management Specialist at the University of Arkansas Cooperative Extension Service. 2003.
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© 2006 |
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University of Arkansas • Division of Agriculture |
Mission
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Disclaimer
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EEO
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