SecondYou, ProxiCare’s AI phone pilot

Question 1 of 2

Do you care for someone with dementia?

Used privately to understand pilot interest. These answers do not decide clinical eligibility, go to ad platforms, or give permission to contact you.

Your contact information
Preferred contact method

Please provide an email address or phone number. Either is enough; you may provide both. If you provide only one, we will use that contact method.

Your own health and ability to participate

Check every statement that applies to you. Some answers require follow-up, and a severe current safety concern may mean this pilot is not the right fit. You must select at least one option; if none apply, select the first box.

Your technology access
Mobile phone access
Device access
Your loved one, diagnosis, and stage

Best description of your loved one's current cognitive stage

Choose your best estimate. MCI means mild cognitive impairment. If you have not been told a stage, choose “Not sure.”

Everyday life with your loved one

Current cognitive and behavioral picture

Check everything that is currently part of daily life. These answers help us understand fit; they are not automatic disqualifiers. You must select at least one option; if none are major issues, select “None of these are major issues right now.”

Living situation and phone access
Your loved one’s health and safety

Does your loved one currently have, or have they recently had, any of the following? You must select at least one option; if none apply, select “None of these are current or recent concerns for my loved one.”

Thinking, perception, and substance use

Medical or neurological status

Immediate safety and behavior concerns

Communication

Relationship and phone feasibility

One last part about decision-making

Legal authority and care decisions

Families handle care decisions in different ways. Tell us whether you have a formal legal role and how decisions are usually made. You do not need to upload documents now. If you are unsure, choose “Not sure” and our team can discuss it with you later.

Legal authority and decision-making

Your personal relationship to your loved one was asked earlier. This question is only about formal legal authority and how care decisions are made. It is okay to be unsure.

Confirm your caregiving role

Open the statement below, read it, and choose whether to confirm.

Open the statement, read it, and choose whether to confirm.

Your caregiving role and decision-making authority

I confirm that, to the best of my knowledge, I may submit this screening application or I am the person who routinely helps make care decisions for my loved one.

This confirmation only allows the team to review the screening application. It does not enroll anyone in the pilot.

If the application may be a fit, our team will explain the next steps and complete any required informed consent before onboarding begins.

Screening acknowledgments and submission

These acknowledgments are for screening only. Full informed consent, meaning the later written consent process, and onboarding happen later if the application is accepted.

Important pilot terms

Experimental pilot and selection

Enrollment in this pilot is offered to caregivers of people with dementia. The caregiver, not the person receiving calls, is the applicant and is responsible for screening, consent, setup, and feedback. This is an experimental product. Some features may be unavailable, may change, or may not function as intended during the pilot. No results are guaranteed. Individuals may meet the criteria, but not be selected. Selection for the pilot program is solely at the discretion of ProxiCare PBC.

Five-year free access for pilot families

For this benefit, enrolled means a family has been accepted into the pilot, completed informed consent and begun onboarding. Enrolled families receive the SecondYou service at no charge during the pilot and for five years after the pilot ends. Features included in that service and offered to paying families remain free to enrolled pilot families during that period. There is no automatic billing. Once a family meets this definition, later pausing or withdrawing from pilot participation does not by itself end eligibility for this five-year free-access offer, as long as the service is commercially available. Withdrawing from the pilot does not create a charge or repayment obligation.

Program and service changes

ProxiCare PBC may cancel, change, modify or end the pilot program at any time. The five-year free-access offer applies as long as the service is commercially available. ProxiCare PBC may change features or discontinue the service for safety, legal, technical, operational or business reasons. If the service is no longer commercially available, ProxiCare PBC is not required to continue operating it solely for pilot families.

General wellness only

This program is a general wellness pilot testing program and is not a clinical trial. It is intended to explore and evaluate the use of the system for general wellness purposes and is not designed to diagnose, treat, cure, or prevent any disease or medical condition.

Participation does not guarantee any particular outcome, benefit, improvement, or result. Individual experiences and results may vary. The system and program should not be considered a substitute for professional medical advice, diagnosis, or treatment.

For each linked acknowledgment below, open the row, read the statement, check the certification in the pop-up, and close it. The Important pilot terms box above is directly checkable.

About this application

This form is for a small pilot inviting 25 families caring for people with dementia, recruited with the Ellen Samson organization. The caregiver completes this application and participates in screening, consent, setup, and feedback. "Loved one" means the person you care for.

This is screening only. Submitting does not enroll you or guarantee acceptance. Selection is solely at the discretion of ProxiCare PBC. Nothing starts unless you are accepted and then read, ask questions about, and sign an informed consent agreement. Any voice recording happens only after that.

Your privacy. What you share stays inside the screening and pilot review process. Your name and contact details stay with the recruiting organization until you are accepted. Until then, reviewers see an application ID instead of your name, a "blinded application number." Submit once. After you submit, we show your next steps and your application number.

You can also read how the pilot works or why families participate.

This application is only a screening step. If accepted, you receive an informed consent document. That means you can read it, ask questions by email or phone, and must sign before onboarding starts.

No welcome meeting, voice recording, setup, or activity involving your loved one happens until consent is complete.

If you later consent to participate, your loved one may receive calls from SecondYou using your name and a voice modeled on yours, and may not be told during those calls that the voice is AI-generated. The informed consent process will explain both points before you decide.

Voice and recordings

After consent, natural phone calls between you and your loved one may be recorded to build a voice model that sounds like you. The target is forty minutes or more of total recorded conversation, with enough clear caregiver speech to pass quality checks.

You listen to and approve the trained voice before any loved-one-facing activation.

Leave the pilot (withdrawal)

A caregiver may withdraw, meaning leave the pilot program, at any time and for any reason. SecondYou confirms withdrawal in writing and follows the consent terms for records, audio, transcripts, and any trained artifacts.

Contact and support

If a screening answer needs clarification, the recruiter may contact you with SecondYou's questions. If you want help understanding the caregiving-role statement or pilot terms, email 2ndyourecruiter@gmail.com.

Important pilot terms

Experimental pilot and selection

Enrollment in this pilot is offered to caregivers of people with dementia. The caregiver, not the person receiving calls, is the applicant and is responsible for screening, consent, setup, and feedback. This is an experimental product. Some features may be unavailable, may change, or may not function as intended during the pilot. No results are guaranteed. Individuals may meet the criteria, but not be selected. Selection for the pilot program is solely at the discretion of ProxiCare PBC.

Five-year free access for pilot families

For this benefit, enrolled means a family has been accepted into the pilot, completed informed consent and begun onboarding. Enrolled families receive the SecondYou service at no charge during the pilot and for five years after the pilot ends. Features included in that service and offered to paying families remain free to enrolled pilot families during that period. There is no automatic billing. Once a family meets this definition, later pausing or withdrawing from pilot participation does not by itself end eligibility for this five-year free-access offer, as long as the service is commercially available. Withdrawing from the pilot does not create a charge or repayment obligation.

Program and service changes

ProxiCare PBC may cancel, change, modify or end the pilot program at any time. The five-year free-access offer applies as long as the service is commercially available. ProxiCare PBC may change features or discontinue the service for safety, legal, technical, operational or business reasons. If the service is no longer commercially available, ProxiCare PBC is not required to continue operating it solely for pilot families.

General wellness only

This program is a general wellness pilot testing program and is not a clinical trial. It is intended to explore and evaluate the use of the system for general wellness purposes and is not designed to diagnose, treat, cure, or prevent any disease or medical condition.

Participation does not guarantee any particular outcome, benefit, improvement, or result. Individual experiences and results may vary. The system and program should not be considered a substitute for professional medical advice, diagnosis, or treatment.