Correct CR name
R caregiver for someone else?
Related to CR
Relationship to CR
Volunteer, employee, friend, or other
Live in same residence as CR
Minutes from CR's residence
Hours per week providing care
Help with tasks (1)
Help with tasks (2)
Manage others responsible for care
Help with other activities
CR needs my help to perform many daily tasks
CR is dependent on me
I have to watch CR constantly
I have to help CR with many basic functions
I don't have a minute's break from my caregiving chores
I feel that I am missing out on life
I wish I could escape from this situation
My social life has suffered
I feel emotionally drained due to caring for CR
I'm not getting enough sleep
My health has suffered
Caregiving has made me physically sick
I am physically tired
I don't get along with other family members as well as I used to
My caregiving efforts aren't appreciated by others in my family
I've had problems with my marriage or with my partner
I don't do as good a job at work as I used to
I feel resentful of other relatives who could, but do not help
I feel embarrassed by the behaviors of CR
I feel ashamed of CR
I resent CR
I feel uncomfortable when I have friends over
I feel angry about my interactions with CR
Ever visited the doctor's office with CR
Had any contact at all with CR's doctors
Physical environment is inviting, comfortable and pleasant
Staff at the doctor's office truly care about me as a person
Staff at the doctor's office are caring and compassionate
I have confidence and trust in the staff at the doctor's office
Free to discuss with the staff any concerns or anxieties I have
Staff at the doctor's office answer my questions completely
Staff at the doctor's office are well coordinated
Staff include me as a full partner in discussing CR's care
Staff make sure that I am informed about CR' s condition
Staff involves me in CR's care as much as I want
Quality of care at the doctor's office is excellent
Sex
Age
Employment status
Currently enrolled