1.What is your name (feel free to create an alias if you'd like)?

2.Where do you live?

3.Describe your experiences of having a loved one in nursing home, memory care community, or assisted living during the COVID 19 pandemic?

4.What has been the most difficult part of caring for a loved one in a facility during the pandemic?

5.What could facilities do, or what could they have done, to make this situation less stressful for families?

6.As a family member or loved one of someone in a facility during the pandemic, describe how this situation has impacted your own mental health?

7.Please add anything else that you think we should know about your experiences.