A Few Quick Questions Before We Talk...

Two minutes. Zero judgment. Share what’s really happening so we can start making it easier, together.

How can we reach you?

Tell us a bit about what's going on...

Which best describes your role? *

My adult sibling has disabilities

My adult child (age 18+) has disabilities

My child (age 0-17) has disabilities

Professional (Case Manager, Attorney, Behavior Specialist, etc.)

Other

Your age: *Knowing your age helps us understand where you are in your caregiver journey.

Why did you reach out today? *

Write a few sentences to help us understand your situation.

How soon do you need help? *Note: Momentum Family Strategies is not an emergency services provider. If you have an emergency, dial 911 or contact your local crisis team at: https://dbhdid.ky.gov/documents/ddid/csb/crisis.pdf

What do you hope life looks like for your loved one in the future? *

Anything you want to share is helpful—big goals, small wishes, anything.

I'm a sibling or other person stepping up to help a loved one with a disability navigate Life After Mom & Dad™. I need help with:

I'm a parent or other primary caregiver preparing my loved one for Life After Mom & Dad™ . I need help with:

I am the parent of a minor child with disabilities (ages 0-17)

How can Momentum Family Strategies help?

I’m referring a client or family who needs guidance with services or future planning

I’m looking for support to help a client navigate Participant-Directed Services (PDS)

I want to explore training or education for my staff or organization

Something else — I’ll share a few details below

My professional role is:

I'm seeking support with:

When It comes to getting help navigating disability services...

How are you feeling about making changes or trying something new? *

I’m ready to take action and try something new

I want to make changes but need help figuring it out

I feel stuck and don’t know what else to do

I’d rather stick with what I know

I’m just looking around for now

Something else

When it comes to getting support, what feels most true for you?

I've been trying to make "free" disability services work, but I'm ready to invest in support that actually helps my loved one live their best life.

I know I need more help than I’m getting. I'm open to paying for the right services if I actually get the help I need.

I’m only able to move forward with services that are free or fully covered by Medicaid

How do you plan to fund your loved one's future care needs?

This helps us tailor our recommendations. Exact numbers aren’t needed.

Do you already have, or plan to have, a Special Needs Trust for your loved one?

Yes, it’s already set up and funded

Yes, it's already set up and will be funded by inheritance

Not yet, but we plan to create one

No, our situation will does not have assets to include in a trust

No, we have chosen not to open a trust

What feels true for you? *

I’m ready to invest in professional help if it brings relief and results

I know I need more support, but I’m still figuring out what’s realistic financially

I’m mostly gathering information right now to plan for the future

I’m only able to move forward with services that are fully covered by Medicaid

What do you hope happens after we talk? *

I want a clear, step-by-step path instead of trying to figure it out alone

I want to stop reacting to problems and start building something stable

I want to build a support system that actually works for our family

I want to know my loved one will be cared for if something happens to me

I need to make decisions soon and want expert guidance to walk me through it

Honestly, I’m not even sure what I need. I just know I need help!

Beyond any trust funds, what other resources might be available to support your loved one's future needs?

They receive SSI, SSDI or other income

Family members are able to help financially with care/services

Other savings or assets

None of the above

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