Caregivers’ Wishes Collection Form for SG60 and Beyond

Dear caregivers,

We are embarking on a campaign to collect your hopes and wishes as a caregiver for SG60 and beyond. Through your voices, we hope to raise public awareness on caregivers’ needs and wishes for better caregiver support systems in Singapore. Together, we strive to build a more inclusive, compassionate, and caring Singapore for SG60 and generations beyond.

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Section 1: Demographics
Age *
Gender
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Race/Ethnicity *
Employment Status *
Section 2: Caregiving Information
Who are you currently caring for? (Tick all that apply) *
Required
Care Recipient's Main Condition(s): (Tick all that apply) *
Required
Section 3: Caregivers' Wishes and Challenges 

What are the top 3 challenges you face as a caregiver (Select up to 3)

 *
Required

What are your top 3 wishes for future caregiving support in Singapore?
(Select up to 3)

 *
Required
If you could make one change to improve caregiving in Singapore, what would it be? *
Any personal message, story, or wish you'd like to share with policymakers or the public?
By submitting this form, you consent to the use of the information provided for the purposes of our advocacy work, including public education and awareness initiatives as well as service/policy recommendations.
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