Are you serving as a caregiver to a loved one during this pandemic? PBS NewsHour wants to hear from you.

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Your responses will be shared with PBS NewsHour staff, and we may use them on PBS NewsHour's broadcast, online and social media platforms. A producer or reporter from our team may be in touch with you.

Are you a caregiver for a family, friend or neighbor?

Yes

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If yes, what type of care do you provide?

Approximately how many hours per week do you provide care?

Tell us about your experience.

Has the caregiving impacted your life (physical and emotional health, ability to perform another job, etc.)? If yes, how? If no, how has it not?

Has the coronavirus pandemic changed the care you provide? How?

Now, please tell us a little bit about yourself. What is your name?

Which city and state do you live in?

How old are you?

What is your gender and race/ethnicity?

A producer may want to contact you to hear more about your story. Would you like to be contacted?

Yes

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If yes, what is your preferred email address and phone number?

If you would like to speak with a counselor, there is always help available. The Substance Abuse and Mental Health Services Administration's (SAMHSA) Disaster Distress Helpline provides 24/7, 365-day-a-year support.

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