NGC Support Group Interest Form

Next Gen Caregiver Support Group

Do you often feel misunderstood by family, friends or coworkers who do not understand the life of being a caregiver? Are you struggling to make time for yourself or your life because you're overwhelmed or frustrated with the balancing act of caregiving? Do you have kids of your own, grandparents/grandchildren AND parents to care for? Or maybe you want to learn and prepare for becoming a caregiver? Sign up below to receive meeting information!
1. Name

First NameLast Name
2. Phone Number

Area CodePhone Number
3. Email
example@example.com
4. How old are you ?
5. Which statement best describes you?

Other
6. What age is the person you’re caring for?

Other
7. Have you ever attended a support group?
9. Do you have other people to assist or rely on with your caregiving responsibilities?
10. Do you feel comfortable discussing caregiving concerns, frustrations or challenges with people in your life?
8. Please share your concerns, frustrations or challenges as a Next Gen Caregiver.
e.g. handling hazardous material, waterproofing, demolition
9. Please share specific topics you’d like to learn about as it relates to being a Next Gen Caregiver.
10. Which NGC Support Group date are you interested in attending?
11. What day or time would work best for you?
You will receive an email with zoom details for upcoming meetings.
Questions?! Contact
Next Gen Caregiver Support Group

Phone: 803-216-1724

LinkTree: https://linktr.ee/preventionispossible2day

Email: preventionispossible2day@gmail.com

Facebook: https://www.facebook.com/share/1J8gw7p1RF/?mibextid=wwXIfr

Instagram: https://www.instagram.com/preventionispossible_2day?igsh=anZiMGk4NTVjOWVo&utm_source=qr
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Next Gen Caregiver Support Group