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Next Step: Gather Information
One day a week
A few days a week
Weekdays
Weekends
Constantly
Spouse
Parent
Child
Sibling
Friend
Neighbor
In-Law
Grandchild
Grandparent
Other
Less than six months
Six months to one year
One to three years
More than three years
Next Step: Strengthen the Support System
Pain Management
Lifting and Transferring
Nutrition and Meal Preparation
Dental Care
Dementia Care
Medication Management
Caring for a Veteran
End of Life Care
Bathing and Dressing
Toileting
Behavioral Issues
Feeding Tube and Ventilator Maintenance
Wound Care
None of the above
Diabetes
Mobility Issues
Vision and Vision Loss
Cancer
Alzheimer’s Disease and Related Dementia
Organ Transplantation
Heart Disease
Kidney Disease
Breathing Problems (COPD)
Loneliness and Depression
Mental Illness (OCD, Bipolar Disorder, Schizophrenia)
Parkinson's Disease
Others
Next Step: Make a Plan
No
Occasionally
Yes
I feel like I am straining my relationship with the person I am caring for.
I feel like I am doing all the work and siblings and in-laws are not stepping up. I find myself distancing from them.
I feel like my children could be more supportive and that I raised them to be more helpful.
My partner and I have not had time for each other in ages.
I do not have time for myself anymore.
I feel like I am losing touch with friends. They just do not understand what I am going through.
I feel like the doctors and healthcare providers could be doing more and they do not take the time to listen.
No concerns.
Next Step: Take Care of Youself
I worry that we cannot afford the cost of care and do not understand what insurance coverage will pay for.
I do not know how to manage money now to prepare for long-term needs.
I do not know enough about what options are available for long-term care.
I worry that the person I am caring for will not receive quality care in a facility.
I am worried that the current home of the person I am caring for is not safe enough or adaptable for their needs, especially as their mobility declines.
I am concerned that the person I am caring for feels isolated and lonely living on their own.
The person I am caring for cannot afford to remain in their home.
The person I am caring for requires supervision, so I am spending most of my time in their home.
I am concerned about finding a living arrangement for the person I am caring for that balances their independence with the care they need.
I have no housing situation concerns.
The person I am caring for is still driving, and I am worried that they be a danger to themselves or others.
The person I am caring for does not have access to transportation unless I drive them.
I am worried about the safety of the person I am caring for on public transportation.
I do not have concerns about the person I am caring for driving by themself.
The person I am caring for has no one to talk to but me and I worry that they may be lonely or isolated.
The person I am caring for is rarely able to meet with others, and I worry that they may be lonely or isolated.
The person I am caring for is able to meet with others every now and then, but I worried that they be lonely or isolated.
The person I am caring for maintains a social life despite some of their health challenges.
I am spending so much money on medical bills, travel, and caregiving supplies. It feels like I cannot keep up.
Caregiving is interfering with my job and income. It is hard to balance everything and I am afraid of losing my job.
I am worried that the financial toll of caregiving will hurt my financial security down the road, like my retirement savings and credit card debt.
I feel like I am the only one handling the financial burden of caregiving, and it is causing tension in the family.
I do not know where to start with legal paperwork like power of attorney or guardianship. It feels overwhelming.
I need a better plan for emergencies or crisis situations.
I need a plan in case of a hospitalization.
I need a plan in case of emergencies like severe weather, blackouts, or other natural disasters.
I need a plan in case I can no longer continue caregiving.
I have plans in place for emergencies and crisis situations.
I have no idea where to start.
I mostly rely on my family, friends, and healthcare providers.
I have heard of a few organizations that can assist with my needs.
I have a list of places to look for certain needs.
Next Step: Review and Submit
Never
Sometimes
Often
Always
I have my own health conditions to worry about but sometimes they come second.
I am constantly tired, no matter how much sleep I get. My body just feels worn out.
I am always awake at odd hours, helping the person I am caring for, and I just cannot seem to get a full night’s sleep.
I am always sore, my back and joints hurt all the time from bending, lifting, and helping with mobility.
I feel like I am always getting sick lately. I do not have the energy to fight off anything.
I am either not eating enough or eating too much, and it is affecting my weight.
I cannot seem to find time to exercise, and I feel more out of shape than I used to.
I have no concerns about my physical well-being.
I feel anxious, constantly on edge, and it is hard to relax.
I feel sad, hopeless, and like I am losing my happiness.
I feel isolated, like I have little time to connect with friends, family, or community.
I sometimes feel frustrated and resentful, especially when I think about how much caregiving has changed my life.
I feel like I have lost who I am because caregiving has taken over my life.
I feel guilty when I cannot do everything perfectly or when I take time for myself.
I feel overwhelmed and completely drained, like I have no energy left to give to anyone or anything.
I feel a deep sadness as I watch the person I am caring for change or decline, and I miss the life we used to share.
I have no concerns about my emotional and mental well-being.
Please review your information carefully before you submit.
Your Information
By submitting the Understanding Your Needs Quiz, you will receive an email with your custom resource guide. This guide will provide you with information and instructions based on your caregiving situation. Thank you for stepping up to care.
