1. How often do you get a good night`s sleep (seven or more hours)?

1.How often do you get a good night`s sleep (seven or more hours)?

a.Every day

b.Often

c.Sometimes

d.Seldom or never

2.How often do you keep up with leisure activities that you enjoyedbefore caregiving?

  1. Every day

  2. Often

  3. Sometimes

  4. Seldom or never

3.How often do you feel irritable or lose your temper with others?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

4.How often do you feel happy?

  1. Every day

  2. Often

  3. Sometimes

  4. Seldom or never

5.How often do you find it difficult to concentrate?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

6.How often do you need a cigarette(s) or more than two cups of coffeeto make it through the day?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

7.How often do you lack the energy to cook, clean, and take care ofeveryday basics?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

8.How often do you feel hopeless about the future?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

9.How often are you able to relax without the use of alcohol orprescription sedatives?

  1. Every day

  2. Often

  3. Sometimes

  4. Seldom or never

10.How often do you feel overwhelmed by all you have to do?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

11.How often has someone criticized your caregiving or suggested you`reburning out?

  1. Seldom or never

  2. Sometimes

  3. Often

  4. Every day

12.How often do you feel that someone is looking after or caringfor&nbspyou?

  1. Every day

  2. Often

  3. Sometimes

  4. Seldom or never

Score 42