At-Home Caregiver Research Interest Form

We are working on research to explore a digital application’s effectiveness in supporting at-home caregivers. This research will help identify what caregivers are currently utilizing to support their everyday responsibilities, what other features they need access to and what's currently missing.


Please fill out the information below to become a potential participant or recommend someone you know! 

Research Study Details

Research Type: Interview
Length: 60 minutes
Location: Virtual (Phone/Computer/iPad)
Compensation: There is no compensation for this study

Participant Eligibility

  • 18 years or older

  • Read, write, and speak English or Spanish

  • Currently providing (or have previously provided) at-home care for a family member/friend

  • Lives in the U.S.

  • Have access to a computer/phone with WIFI

  • Must consent to audio recordings for note taking purposes

*A caregiver is anyone who has the primary responsibility of providing daily at-home care for someone and does not receive financial compensation for care.

Recommended Participants Information

To recommend more than one participant, please fill out the survey a second time after completion.

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.

Participant Details

This information will only be utilized for study purposes. 

Almost done!