by Dr. Eugene Muscat
This questionnaire was prepared for the Winter-Spring 2008 issue of the Career Planning and Adult Development Journal in an article on Enterprise Housing, a Vital Economic Option for Caregivers.
1. Do you provide cargiving services for one of the following:
(check all that apply)
__ parent
__ sibling
__ relative
__ neighbor
__ paid client
__ Other describe) __________________________________________
2. Where do you provide the cargiving services:
(check all that apply)
__ your home – parent lives with you
__ your home
__ your parents home – near
__ your parents home – more that 1 mile away
__ neighbor’s home
__ paid client’s home – near
__ paid client’s home – more than 1 mile away
__ Other describe) __________________________________________
3. Describe the design (layout, quantity and quality of space) of the
residence in which the caregiving takes place:
(check all that apply)
__ Very appropriate for the caregiving activity
__ Somewhat appropriate for the caregiving activity
__ No effect on the caregiving activity
__ Minor obstacles to the caregiving activity
__ Major obstacles to the caregiving activity
__ (Comments) __________________________________________
4. What effect does the cost of housing options have on your ability to
provide caregiving (check all that apply)
__ Housing costs are a major obstacle to providing caregiving
__ Housing costs are a minor obstacle to providing caregiving
__ Housing costs have no effect on my caregiving activity
__ Some obstacles to the caregiving activity
__ (Comments) __________________________________________
5. What features would you recommend in housing design that would
support your ability to provide caregiving services; (check all that
apply)
__ Build housing on a single level
__ Build housing with handicapped access
__ Build housing with elevator access
__ Build housing close to public transit
__ Build housing close to free parking
__ Build housing close to fee parking
__ Build housing close to food service options
__ Build housing close to daycare options
__ Build housing that includes high-speed connectivity
__ Build housing that includes a shared recption area
__ Build housing that includes a commercial kitchen
__ Build housing that includes a shared storage area
__ Build housing that includes a shared private office area
__ Build housing that includes (other/describe)
________________________________________________________________
__ Build housing that includes (other/describe)
________________________________________________________________
__ Build housing that includes (other/describe)
________________________________________________________________
__ Build housing that includes (other/describe)
________________________________________________________________
__ (Comments)
________________________________________________________________
General comments on the challenges of providing caregiving in a
residence:
________________________________________________________________
________________________________________________________________
Source: Eugene Muscat, Professor of Management
University of San Francisco
School of Business and Management
415-422-2514
Muscat@usfca.edu
Date: October 24, 2007
Keywords: caregiver housing questionnaire, environment, Eugene Muscat, sg