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Caregiver Stories

Thank you for sharing your family, unpaid, or informal caregiving experience with us. Your insight will help the Maryland Department of Aging support family caregivers throughout the state. Your feedback and information will remain private unless you provide permission for us to share your story with the caregiving community.

Personal Information

We strongly encourage current family caregivers who have used the Johns Hopkins Memory Care Family Checklist to offer feedback on their experience at the end of the survey.
* Name
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* Email Address
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* I provide/provided care for a (check all that apply):
* My caregiving includes/included (check all that apply):
* My care commitment includes/included:
* My caregiving duties are/were:
Not at all difficult
Extremely difficult
* Please rank the following common caregiving demands from highest to lowest difficulty, according to your caregiving experience.
* Would you be willing to share your story with others?
* Have you used the Johns Hopkins Memory Care Family Checklist at marylandaccesspoint.info/memorycare?
Share your story (optional)
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Submit Survey

Maryland Department of Aging | 36 S. Charles Street 12th Floor | Baltimore, MD 21201 US

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