We are
looking for Caregiver of Dementia patient to participate in our Survey.
Requirements:
- Caregiver
for Dementia patient
- The
dementia patient that you are currently taking care of must be diagnosed by
doctor and are currently taking prescribed medicine.
Date/Time
: 27 or 28 or 29 August / 7pm – 9pm
Venue
: Mid Valley (will sms full address should you short-listed)
Incentive
: RM200 – RM250 (cash payment to you on the spot)
Interested,
please provide the information for “Questions for selection criteria” as stated
below to Cheong via SMS/WHATSAPP to 012-9234620 or you may email to cheongsurvey@gmail.com :
Questions for selection
criteria:
1. Full
name
2. NRIC
(FOR SURVEY PURPOSE ONLY)
3. Gender
(A) Male
(B) Female
4. Race
(A) Malay
(B) Chinese
(C) Indian
(D) Others
5. Mobile
no.
6.
Occupation
7. Have you
attended survey in the past 6 months?
(A) NO
(B) YES
8. Marital
status?
(A) Married
with kid(s)
(B) Married
without kid
(C) Single
9. My
monthly household income / jumlah pendapatan rumahtangga sebulan _______.
(A) RM8000
and above
(B) RM7000
– RM7999
(C) RM6000
– RM6999
(D) RM5000
– RM5999
(E) RM4000
– RM4999
(F) RM3000
– RM3999
(G) RM2500
– RM2999
(H) RM2000
– RM2499
(I) RM1999
and below
10. My
educational level is until _____.
(A) Master
and above
(B) Degree
(C) Diploma
/ Advanced Diploma
(D) STPM /
A Level
(E) SPM / O
Level
(F)
Certificate
(G) Others
11. Number
of family members? __________
12. Any of
your family members suffering from Dementia (e.g.: Alzheimer's disease)
(A) YES
(B) NO
13. IF YES,
I am _____________.
(G1)
Caregivers with an elderly relative in residential care home/ hospital wards
(G2)
Caregivers currently receiving home visit service/ stay-home helper/nurse or
maid
(G3)
Caregivers not receiving any care service (take care of patient by your own)
(G4) None
of the above
14. I
prefer ________ speaking. (e.g.: English, Malay, Mandarin, Cantonese)
Important:
Qualified candidates who
meet our selection criteria will receive notification from us (over the phone
& SMS) to confirm your participation in the survey.
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