Have you ever had to take family or medical leave, or needed someone to care for you? * I have needed family leave to take care of a new baby or a seriously ill family member I have taken personal medical leave A family member took leave to care for me No, I have not

Was your leave paid, partially paid, or unpaid? * Unpaid Partially Paid Fully Paid N/A

Was your job at risk when you took your leave? * I lost my job I had to cut my leave short in order to keep my job My job was not at risk I was not employed N/A

Tell us more about your experience with family caregiving. (It’s helpful if you include details like who you took care of, how your employer supported you, and how long you were providing care.)

Can we use your story as an example of why family care matters? Yes No Ask Me Later

Share Your Caregiving, Medical or Family Leave Story

Have you ever had to take family or medical leave, or needed someone to care for you?

Tell us about your experience.