Does your loved one live in a home for the elderly?

As part of our investigative report on assisted living facilities in Florida, we'd like to know if you have a loved one living in such a facility. The Miami Herald may be interested in speaking with you. Fill out this brief query so that they may learn about your experience.

* indicates required field

First Name *

Last Name *

E-mail *

Phone *

City *

State or Province

Postal Code *

Country *

If your loved one lives in a home for the elderly, who are they and where do they live?

What has your experience / your loved one's experience been like?

Is there anything else you'd like to add?

If you have an original photo to illustrate your insights, the people in your story, or just of yourself, please upload it here. (No larger than 10MB, please!)

In what year were you born?

May we air your comments or publish them on our websites or newspapers and attribute them to you?
(They may be edited for length or clarity).

May one of our journalists contact you for a possible interview?

Here are a few questions that are designed to help us find out for which articles or stories you'd be a good source. This information is not shared beyond the newsroom. If you've answered them before, go ahead and skip them.

What is your gender?

What race or ethnicity are you?

What is your job title?

To what organizations do you belong?

Where did you hear about being a news source for The Miami Herald?

On radio or television
In the newspaper
On this newsroom's website
On another website
On social media
At an event
From a friend
Other

Your Information
By completing this form, you become part of American Public Media's Public Insight Network (PIN). Miami Herald/WLRN, American Public Media and any other PIN newsroom listed on this form may contact you for help with current and future news coverage.

This submission may be shared with journalists at Miami Herald/WLRN, American Public Media and other news organizations collaborating on reporting. It will not be used for marketing or fundraising purposes, and we will never quote you without first getting your explicit permission.

If you give us permission to publish your submission, we may edit before sharing it on-air, in print or online. We reserve the right to reuse or republish your submission, or to withhold your submission from publication. You must be 13 years or older to provide a submission.

About the Public Insight Network
Founded in 2003, American Public Media's Public Insight Network is a platform for connecting trusted journalists with knowledgeable sources and for fostering journalistic excellence, innovation and collaboration. Learn more »

Through American Public Media, you may have opportunities to also inform reporting for Marketplace, Marketplace Money, On Being, American RadioWorks and other partner newsrooms.