ENGLISH - Overnight Respite Experience Survey | Engage Vancouver Coastal Health

1.

Where has the person receiving overnight respite accessed respite in the past?

Family Respite Centre (Vancouver)

Purdy Pavilion (Vancouver)

Richmond Lions Manor (Richmond)

Cedarview Lodge (North Shore)

Hilltop House (Squamish)

Silverstone Care Centre (Sechelt)

Evergreen Extended Care Unit (qathet – Powell River)

Willingdon Creek Village (qathet – Powell River)

Other (please specify)

2.

How often does the person receiving overnight respite use respite services in a year? ____ days per year

3.

Please select the age group of the person booking overnight respite services on behalf of the person receiving overnight respite:

Select option

4.

Please select what best describes your relationship with the person receiving overnight respite:

Myself

Spouse or Partner

Parent or Step-Parent

Child or Step-Child or Child-in-Law

Grandchild or Step-Grandchild or Grandchild-in-Law

Grandparent or Step-Grandparent or Grandparent-in-Law

Sibling or Half-Sibling or Step-Sibling

Friend

Other (please specify)

5.

Does the person receiving overnight respite and their caregiver currently live together?

Select option

6.

How long has the person receiving overnight respite required caregiving supports? ______ years OR _____ months

This includes private pay and public home supports, stays in healthcare sites, caregiving by family or loved ones, etc.

7.

What type of caregiving supports has the person receiving overnight respite been provided with in the past? Mark all that apply.

Personal Care

Safety and Supervision

Meal Preparation

Transportation

Shopping

Housekeeping

Financial Management

Coordinating Medical Care

Medication Monitoring

Active Role as Power of Attorney

Emotional Support

Other (please specify)

8.

What barriers have you or the person receiving overnight respite experienced. Mark all that apply.

Access to knowledge and who to contact for

Managing chronic conditions

Managing behaviours

Navigating the health care system

Equipment and supplies

Managing incontinence

Getting care at home

Physical limitations (e.g. mobility, vision, hearing, etc.)

Covering costs of care

Language or cultural barriers

Time and space to take care of myself

Caregiving physical or emotional stress

Making decisions

Problem-solving

Access to respite care (i.e. services that give caregivers temporary relief from the emotional, physical demands of caring for family member or friend)

Other (please specify)

9.

How can we make overnight respite easier and more accessible for you or the person receiving overnight respite? (e.g. costs, availability, multi-language resources, education materials, etc.)

10.

In the past, how were overnight respite services arranged?

An in-person clinical check-up or appointment

Phone (a staff member, clinician, or admin has assisted)

Mail or letter

Fax

A modern, online booking request system

Other (please specify)

11.

How confident would you feel accessing a modern, online booking request system on a scale from one to five? Select one rating.

Select option

12.

What does a modern, online booking request system and process look like to you?

13.

What educational resources would help you increase confidence accessing a modern, online booking request system?

Frequently Asked Questions document

Brochure

Video tutorial

One-page instruction guide

Phone line

Other (please specify)

14.

What considerations are important to you when using an online booking request system?

Access to a reliable computer cellular device to use or wi-fi

Different abilities for daily needs

Speech-to-text option

Real-time technical support

Educational supports to access the booking system

Navigating the booking system

Financial costs

Availability of a bed for preferred date(s)

Simple booking process

Help from a person

Time

Language(s) other than English

Other (please specify)

15.

What is most important to you or the person receiving overnight respite?

16.

Do VCH’s existing overnight respite online resources meet your needs?

Select option

17.

An extension of service beyond 30 days of overnight respite per year would be desirable.

Select option

18.

How can VCH improve overnight respite services to better the overall care experience?

19.

Would you recommend overnight respite services to others? Why or why not?

20.

(Optional) Would you or the person receiving overnight respite be interested in participating in a future focus group? If so – please leave your contact information here or email LTC-AL-Connections@vch.ca directly:

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