Who do you currently care for?*
Parent
Grand/Great-Parent
Other Relative
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Where do you and your loved one live?*
Same Home Full-time
Same Home Part-time
Within 15 min Drive
Further Away
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Roughly how many hours do you help each week?*
<10
11-20
21-40
40+
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Does your loved one have Medicaid (HUSKY) now—or are you applying?*
Yes, active
Application Started
Not yet / Unsure
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When do you want to start getting paid?*
ASAP
1-2 Weeks
1-2 Months
Just Researching
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