Jovial
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Self-therapy for Caregivers
Take the Survey
Caregivers in Tech
Which has affected your health & wellbeing?
Pick any issue --- 👇🏾
Anxiety
Burnout
Depression
Pick how often --- 👇🏾
Once
Few Times
Often
Yearly
Pick any symptoms --- 👇🏾
Gastrointestinal Pain
Immune System
Breathing
Heart
Fainting
Chest Pain
Dizziness
Fatigue
Headaches
Insomnia
Appetite
Sick More (Flu/Colds)
How do you spend your 24 hours?
At Work --- 👇🏾
Full-time Job
Part-time Job
Full-time Freelancer
Part-time Freelancer
Full-time Startup
Part-time Startup
Side Projects
Other (Work)
At Home --- 👇🏾
Elder Care
Adult Care
Disability Care
Parenting
Other (Home)
Average Sleep --- 👇🏾
7-8 hours
5-6 hours
4 hours
Other (Sleep)
Other
What are your caregiving duties?
Unsure
Attention
Time
Leadership
Mentorship
Emotional Support
Tech Support
Transportation
Errands & Chores
Financial Support
Supervision
Mobility Assistance
Parenting
Counseling
Personal Care
Health Care
Groceries/Meals
Housekeeping
Pet Care
Mediator
Other
Other
What are your unmet needs with work & family?
Unsure
Respect
Attention
Freedom
Recognition
Help
Advice
Physical Support
Financial Support
Emotional Support
Career Trajectory
Personal Space
Autonomy
Privacy
Companionship
Friendship
Social Life
Kindness/Treat Me Better
Me Time
Support My Goals
Leisure Time
Medical Check-Ups/Attention
Extend Myself Grace
Security
Safety
Other
Other
When did you take a vacation, weekend, or day off?
Last week
Last month
Last holiday
3-months ago
6-months ago
1-year ago
3-years ago
5+ years ago
Other
How much help does your family give?
Daily
Weekly
Often
Few Times
Errands 50/50
Bare Minimum
Lip Service
Other
Who makes it hard to be open & honest about problems?
Unsure
Me
Spouses/Partners
Parents
Friends
Children
Family
Team
Managers
Colleagues
Co-Founders
Contractors
Customers
Clients
Vendors
Investors
Other
What support helped you in the past 90 days?
Go to Apps --- 👇🏾
None
Unsure
Podcasts
YouTube
Journaling
Meditation
Religious
Sleep
Fitness
Calendar
To-Do Lists
Other (App)
None (App)
Unsure (App)
Supporters --- 👇🏾
None (People)
Unsure (People)
Spouses/Partners
Parents
Family
Friends
Co-Founders
Manager
Colleague
Therapist
Coach
Ministers
Peer/Support Groups
Mentorship
Networking
Masterminds
Other (People)
Helpful Activity --- 👇🏾
None (Activity)
Unsure (Activity)
Phone/Video Calls
Family Time
Books
Newsletters
Courses
Blogs
Exercise
Hobby
Outsource/On-Demand Help
Go Offline
Other (Activity)
Other
How do you cope with stress?
Do the Bare Minimum
Quit
Sabbatical
Social Media
Binge Shows
Video Games
Sleeping
Eating
Smoking
Drinking
Happy Hours
Unsure
Other
Other
What keeps you complacent?
Unsure
Risk
Difficulty
Loneliness
Compromise
Trade-offs
No Options
No Support
No Plan
No Reward
No Accountability
Insecurity
Failure
Fear
Uncertainty
Barrier
Pettiness
Reputation
Hostility
Useless
Rejection
Criticism
Laziness
Stubbornness
Finances
Other
Other
How do you describe yourself?
Pick an age range --- 👇🏾
18-19
20-29
30-39
40-49
50-59
60-69
70+
Pick a gender --- 👇🏾
Man/Men
Woman/Women
Transman/Transmen
Transwoman/Transwomen
Non-binary
Pick a race/ethnicity --- 👇🏾
Black/African American
Latin American/Hispanic
American Indian/Alaskan Native
Asian
Indian/South Asian
Middle Eastern
Native Hawaiian/Pacific Islander
White
European
Multi-Racial
I'd prefer a different identity (Gender)
I'd prefer a different identity (Race)
Pick a salary range --- 👇🏾
$50k & Under
$55-75k
$75-90k
$95-120k
$125-150k
$155-170k
$175k & Over
Other
Get the Caregivers in Tech report
Share your name & email with Helen, the founder to get the report. Don't worry, I'll keep your responses anonymous.
Name
Email
example@example.com
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