Your History as a Caregiver
How long have you been a caregiver?
If 6 or more years, please specify the number of years (6 - 70)
You are the caregiver for:
Age of the person you are caring for:
Type of disability (check all that apply):
Please specify other condition if selected in question 5.
Do you currently have formal support (respite care, paid housekeeping or homecare, other professional services, etc) for helping you with caregiving?
Do you currently have informal support (family, friends, other unpaid services) for helping you with caregiving?