Staying healthy
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Problems sleeping
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Getting exercise
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Eating well
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Avoiding substance abuse
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Balancing work and caregiving
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Paying for care
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Getting to appointments
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Preparing for emergencies
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Managing medication
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Making sure the home is safe
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Talking with healthcare providers
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Talking with family and friends
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Helping from a distance
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Feeling angry
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Feeling anxious
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Feeling lonely or isolated
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Feeling sad or depressed
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Feeling tired or fatigued
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Feeling scared or uncertain
- Select - 1 (Not very concerned) 2 3 4 5 (Moderately concerned) 6 7 8 9 10 (Extremely concerned)
Submit