Please answer these questions for your invitation to the secret Facebook group, Shattered Lives.
The only one required is your Facebook name.
Facebook requires that we are "friends" on Facebook. I may be sending you a friends request, please accept it.
The other questions are optional and solely so I know what resources people in the group may need.
Once you are member of the group, your answers will be deleted.
What is your Facebook name?
Has your loved one been given a diagnosis?
If so, what is it?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service