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Caregiver Burden Scale
Rank these statements on how true they are for you as a caregiver,
using a scale of 0 to 4 with 0 = Never and 4 = Nearly Always.
_____ I don’t have enough time for myself.
_____ I am over-taxed by my responsibilities.
_____ I have lost control over my life.
_____ I am uncertain about what to do for my loved one.
_____ I should do more to help my loved one.
_____ I could do a better job caring for my loved one.
_____ I feel burdened by caring for my loved one.
_____ Total Score
_____ My loved one needs help all of the time.
_____ My loved one depends on me to help her complete her daily tasks.
_____ I fear what may happen to my loved one in the future.
_____ I fear that there will not be enough money to care for my loved one.
_____ I fear I will not be able to continue to care for my loved one.
_____ I wish someone else would take over my caregiving responsibilities.
_____ I feel a sense of strain when I’m with my relative.
_____ Total Score
_____ I sometimes feel anger toward my loved one.
_____ I am sometimes embarrassed by my loved one.
_____ I feel uncomfortable about having friends over.
_____ Caring for my loved one has a negative impact on my relationships with other family and friends.
_____ Caregiving has affected my health.
_____ Being a caregiver impacts my privacy.
_____ Total Score

_____ Total points from all scores.

Interpretation:
No or Minimal Burden: 0 to 20
Mild or Moderate Burden: 21 to 40
Moderate to Severe Burden: 41 to 60
Severe Burden: 61 to 88
Adapted from The Family Practice Handbook
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210-826-6594
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512-650-0504
 
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