Family caregiver survey

FiftyForward class on tools for the family caregiver

Thank you for taking the time to take this survey. We are excited to be able to share this upcoming class for family caregivers and want to ensure we can offer it at a time that is convenient for you. 
1.Name
2.Email address
3.Phone number
4.Preferred day of the week for class
5.Preferred time of day for class
6.I am currently the caregiver for
7.Is there anything you would like to share about your caregiving experience and what you might need for support?
8.How do you prefer to take classes?
9.Do you have a device that will allow for Zoom capabilities like a laptop with video, iPad, or smartphone?
10.Will you need help setting up Zoom on your device?
Current Progress,
0 of 10 answered