+ points earned!

Caregiver Needs Screening Tool

img-cg

When was the last time you checked in on you?
This short self-assessment helps you notice stress signals early, so you can get support sooner, not later.

Duration: 1-3 mins
Developed by AIC and SG Enable
10%
Question 1 of 11
In the past 4 weeks, how often did your caregiving duties affect your participation in activities that you normally engage in with others (e.g., meeting with friends, joining neighbourhood activities, volunteering, going for religious activities)?
20%
Question 2 of 11
How often do you feel lonely or disconnected from others?
30%
Question 3 of 11
How much do you know about the condition of your care recipient(s), including how it may change over time?
40%
Question 4 of 11
How prepared are you to handle any unexpected changes to the current caregiving arrangement for your recipient(s) (e.g., other caregiver is hospitalized, helper leaves suddenly)?
50%
Question 5 of 11
How much do you know about where to find professional help for issues related to caregiving (e.g., difficult behaviors, personal care, managing medicines, transport for medical appointments)?
60%
Question 6 of 11
How confident are you to provide care for your care recipient(s)?
70%
Question 7 of 11
To what extent are you able to balance caregiving duties and other life commitments (e.g., marriage, other family needs, work, retirement planning, lifestyle)?
80%
Question 8 of 11
In the past 4 weeks, how often did caregiving duties make it difficult to care for your own health (e.g., going for medical appointments, exercise)?
90%
Question 9 of 11
In the past 4 weeks, how often did caregiving duties disturb your sleep?
95%
Question 10 of 11
In the past 4 weeks, how often did you feel overwhelmed due to your caregiving duties?
100%
Question 11 of 11
In the past 4 weeks, how often did you feel anxious, worried, depressed, or lost interest in things you usually enjoy?

Computing your results

This may take a few moments. Please do not close or refresh the page.

BACK
TO TOP