ACP Toolkit
For Community Organizations
Community Assessment Surveys
Developed in collaboration with our evaluation team at UC Davis, the ACCA has created a short survey that can be used in community settings including senior apartments, nursing homes and community centers.
The surveys provide a better understanding of community needs related to advanced or serious illness and caregiving. It helps us to understand how many people have thought about how they would like to be cared for if they had an advanced illness, and how many people are touched by advanced illness, as a person needing care or as a caregiver. The survey also measures advance care planning milestones (naming an agent, advance care planning conversations, completion of advance directives, completion of POLST forms).
Due to limited resources and staff availability, a fee may apply for some of the services we can provide to community organizations. Contact us for further information.