| Contact information: | Please tell us who you are and give us a way to contact you. We will not share your information. |
|---|---|
| Date Created | May 28, 2023 |
| First Name | Jean |
| Email OR Phone Number | 2026972941 |
| Zip Code (we want to match where you live with your members of Congress) | 20854 |
| Tell us a little about yourself or your loved one: | |
| Q1: What was your situation when you or your loved one first started experiencing elder abuse, neglect, and/or fraud? (What was your/their living situation like, were you/they struggling with any health issues, etc.?) | Yes |
| Q2: What would you like to share about your story? | Condition , situation and outcome |
| Q3: What do you wish people knew about elder abuse, neglect, and fraud? | To preventing the other family from same family crisis situation. |
| Q4: What are your hopes for the future? | Have an organization stepping into the intervention process to help. |
| Can our staff follow up with you about your story? | Yes |
| Are you interested in sharing your story further? (We can contact you about speaking with local media, elected officials, or recording your story for a video or podcast) | Yes |
| Can we use your name in telling your story? | No |
| Is there anything else you would like to add? | Yes |