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Zarit Scale of Caregiver Burden
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This field is for validation purposes and should be left unchanged.
Your healthcare provider is:
*
Select
MCS Classicare
MCS Comercial
Triple S Federal
PAE
Otro
1. Do you feel that your relative asks for more help than (s)he needs?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
2. Do you feel that because of the time you spend with your relative that you do not have enough time for yourself?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
3. Do you feel stressed between caring for your relative and trying to meet other responsibilities for your family or work?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
4. Do you feel embarrassed you’re your relative’s behavior?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
5. Do you feel angry when you are around your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
6. Do you feel that your relative currently affects your relationship with other family members or friends in a negative way?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
7. Are you afraid what the future holds for your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
8. Do you feel your relative is dependent upon you?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
9. Do you feel strained when you are around your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
10. Do you feel your health has suffered because of your involvement with your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
11. Do you feel that you do not have as much privacy as you would like because of your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
12. Do you feel that your social life has suffered because you are caring for your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
13. Do you feel uncomfortable about having friends over because of your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
14. Do you feel that your relative seems to expect you to take care of him/her as if you were the only one he/she could depend on?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
15. Do you feel that you do not have enough money to care for your relative in addition to the rest of your expenses?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
16. Do you feel that you will be unable to take care of your relative much longer?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
17. Do you feel that you have lost control of your life since your relative’s illness?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
18. Do you wish you could just leave the care of your relative to someone else?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
19. Do you feel uncertain about what to do about your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
20. Do you feel that you should be doing more for your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
21. Do you feel you could do a better job in caring for your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
22. Overall, how burdened do you feel in caring for your relative?
*
Never
Rarely
Sometimes
Frequently
Nearly Always
TTY
Interpreter services
Make an appointment
Español