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* 1. Please indicate your relationship to the person you are caring for:

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* 3. Have you been a caregiver before this role?

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* 4. Are you currently employed?

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* 5. What caregiving responsibilities do you have? (select all that apply)

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* 6. What type of support, resources, or information do you currently access to assist you in your caregiving role? (select all that apply)

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* 7. What are the top three challenges or stressors you face as a caregiver?

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* 8. How do you cope with the challenges and stress of being a caregiver? (select all that apply)

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* 9. Have you ever experienced a sense of accomplishment or victory in your caregiver role? If yes, please describe one of your most significant victories.

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* 10. What additional support or resources would be beneficial to you as a caregiver?

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* 11. Is there anything else you would like to share about your caregiving experience, positive or negative?

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