Caregiver Study - P251020

Please provide us with your First and Last Name

Please provide us with your email address.

Do you provide or have provided in the past year ongoing, unpaid support to someone age 65+ you personally know?

Yes

Are you employed as a healthcare worker, or are you a state, local, or federal government official?(Healthcare workers include, for example, doctors, nurses, therapists, administrative staff, employees in health insurance, home health aides, and nursing home staff. Public officials include, for example, employees of federal agencies, local government positions (such as city councils or school districts), and public university staff.)

Are you employed as a healthcare worker, or are you a state, local, or federal government official?(Healthcare workers include, for example, doctors, nurses, therapists, administrative staff, employees in health insurance, home health aides, and nursing home staff. Public officials include, for example, employees of federal agencies, local government positions (such as city councils or school districts), and public university staff.)

Yes

For this study you need to invite another person that is part of your caregiving role. This could be the person you care for, another informal caregiver, or a person who significantly supports you like a family member or friend

You need to provide us with the person's name, relationship to you, phone number, and email to contact them. In order to ensure clarity and informed participation and consent, this study requires participants who do not have cognitive conditions (e.g., dementia, severe memory impairment)

Please provide me: The person's name:

Relationship to you

Phone number

Email address

Where is the best place that we can meet you and the person on the day of the interview? (Please provide the mailing address and please let us know if there is a controlled access, or any details we need to follow to go in)

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