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Cooperative Extension Service |
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Agricultural
Experiment Station |
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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 Follow-Up Program Evaluation
About 6 months ago you participated in the "Critical Conversations About
Financing Long-Term Care" program. We’d like to ask you a few questions about
what you learned and how you have used the information.
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.
A. Circle Yes for each action you have taken as a result of this program.
| 1. | Identified my risk of needing long-term care? | Yes |
| 2. | Estimated my life expectancy? | Yes |
| 3. | Examined the local costs of long-term care? | Yes |
| 4. | Identified my later-life financial goals? | Yes |
| 5. | Gathered information on specific strategies for financing long-term care (e.g., Medical Assistance, long-term care insurance, reverse mortgages)? | Yes |
| 6. | Examined the ability of my existing health plan to cover long-term care? | Yes |
| 7. | Assessed my ability to self-insure by saving on my own? | Yes |
| 8. | Assessed the impact needing long-term care would have on my family’s financial security? | Yes |
| 9. | Established or revised saving and investment goals to pay my own way? | Yes |
| 10. | Purchased a long-term care insurance policy for a family member? | Yes |
| 11. | Examined long-term care policies and chose not to purchase at this time? | Yes |
| 12. | Have taken steps to protect all of my income and assets from paying for long-term care? | Yes |
| 13. | Protected some of my life savings to be able to leave an inheritance? | Yes |
| 14. | Discussed my later-life financial needs and goals with others? | Yes |
| 15. | Discussed long-term care financial issues with aging parents/in-laws? | Yes |
| 16. | Discussed long-term care financing with a financial planner, attorney or other professional? | Yes |
| 17. | Decided to wait until long-term care is needed to take action? | Yes |
| 18. | Decided to take the chance that I won’t need long-term care? | Yes |
Please list any other specific action steps you’ve taken as a result of participating in this program:
B. After attending the program, did you share information about it with other people?
Yes ______ How many? _____________ No ______
C. As a result of this program, do you know where to find information to help you make decisions about financing long-term care?
Yes ______ No ______
D. Background Information:
What is your age? ______________
Please check: Male _________ Female __________
E. Any other comments you would like to share about this program:
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 |
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