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Caregiver Self-Assessment N Questionnaire …

Trouble keeping my mind on what I was doing .. Ye s that I couldn t leave my relative Ye s No3. Had difficulty making decisions .. Ye s No completely Ye s useful and needed .. Ye s lonely .. Ye s upset that my relative has changed so much from his/her former Ye s No8. Felt a loss of privacy and/or personal time .. Ye s No9. Been edgy or irritable .. Ye s sleep disturbed because of caring for my relative .. Ye s a crying spell(s) .. Ye s strained between work and family Ye s back Ye s ill (headaches, stomach problems or common cold).. Ye s satisfied with the support my family has given me .. Ye s my relative s living situation to be inconvenient or a barrier to care .. Ye s a scale of 1 to 10, with 1 being not stressful to 10 being extremely stressful, please rate your currentlevel of stress.

Self-evaluation: To Determine the Score: 1.Reverse score questions 5 and 15. (For example, a “No” response should be counted as “Yes” and a

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