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 ?*

Under 2525 to 2930 to 3536 to 4041 to 45
5. Which statement best describes you?*

Caring for an older family member (parent, relative, etc)Caring for an older non-family member (neighbor, friend, etc)Caring for an older person AND a younger child(ren) / grandchildtenSupporting a caregiverNon-caregiver, information onlyPreparing to be a caregiver/support personOther
6. What age is the person you’re caring for?*

50 to 6566 to 7576 to 9091 and olderOther
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?*

I’d like to be notified about future events, meetings and caregiver resources, etcFall 2025 Group InformationOther
11. What day or time would work best for you?*

Weekday eveningsWeekend morningWeekend afternoonWeekend eveningI’m flexible
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