This page provides resources to help Senior Companion Program and RSVP projects conduct surveys to measure outcomes for independent living clients and caregivers receiving respite services. Resources include: survey instruments in 14 languages; instructions, samples, forms, and training materials to collect and summarize the data; notes and recordings of training (webinars), and frequently asked questions.
Free technical assistance (TA) is available to SCP and RSVP projects that will be implementing the Healthy Futures measures for “aging in place” (H8-9, H13-14).
For more information, click here.
SCP Surveys and Support Resources
RSVP Version of the Surveys
- RSVP Independent Living Survey Sample (PDF)
- RSVP Respite Survey Sample (PDF)
- Other Healthy Futures Surveys for RSVP
SCP Performance Measure Surveys Information Packet (updated for 2014)
Click here for the complete packet or download individual sections below.
NEW! Condensed version for both SCP and RSVP: Independent Living Performance Measure Surveys: Condensed Information Packet (PDF)
- Introduction (PDF)
- The Senior Companion Program Performance Measure Surveys: FAQ’s for Project Directors (PDF)
- Steps from Data Collection to Reporting (PDF)
- Preparing Survey Helpers to Collect Data: Introduction to Sample Training Sessions (PDF)
- Sample Training Session 1: Giving the Survey to Clients/Caregivers to do on Their Own
- Sample Training Session 2: Giving the Survey to Clients/Caregivers in an Interview Format
- Survey Fact Sheet (PDF)
- SCP Independent Living Performance Measure Survey (sample) (PDF)
- SCP Independent Living Performance Measure Survey (completed example) (PDF)
- SCP Respite Performance Measure Survey (sample) (PDF)
- SCP Respite Performance Measure Survey (completed example) (PDF)
- Talking with Stakeholders (PDF)
- Data Collection Plan & Schedule (DOC) (PDF)
- Survey Helper Packet (PDF)
- Mail Survey Instructions and Sample Cover Letter (DOC) (PDF)
- Telephone Survey Instructions (PDF)
- Online Survey Instructions (PDF)
- Survey Tracking Sheet (DOC) (PDF)
Instrument Translations: SCP Independent Living Survey
Independent Living Survey translations
Instrument Translations: SCP Respite Care Survey
Respite Care Survey translations
Data Summary Resources
Orientation and Training
- Replay Available: Jan 7th – Healthy Futures Performance Measure Surveys: Review for RSVP Projects Replay Number: 888-568-0623 until April 30, 2015 (Click here for the presentation).
- Replay Available: January 6th – Introduction to the Healthy Futures Surveys for SCP ProjectsReplay Number: 866-463-4972 until April 30, 2015 (Click here for the presentation).
- Replay Available: Webinar for RSVP – Surveys for Independent Living Measures H9 and H14 - June 4.
- Replay Available: Summarizing Results for the Healthy Futures Independent Living and Respite Care Surveys - April 30.
- Replay Available: Beginning to Use the Healthy Futures Independent Living and Respite Care Surveys in 2014 - April 24.
Other Healthy Futures Surveys for RSVP
Projects that provide independent living services may want to consider these optional client surveys for measuring outcome H9.