Let's Connect: Zarit Caregiver Burden Scale (Post) Question Title * 1. Please enter your initials: OK Question Title * 2. Please enter the initials of the person you provide care for: OK Question Title * 3. Please select your loved one's service provider (e.g. day program, community-based network, etc.): OSCC Faith Place OSCC Northview OSCC Conant OSCC John St. CCD Pickering CCD Whitby CCD Clarington Hillsdale Estates Adult Day Program Alzheimer Society of Durham Region Oshawa Public Library (McLaughlin) Oshawa Public Library (Legends) OK Question Title * 4. Do you feel that because of the time you spend with your relative that you don’t have enough time for yourself? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 5. Do you feel stressed between caring for your relative and trying to meet other responsibilities (work/family)? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 6. Do you feel angry when you are around your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 7. Do you feel that your relative currently affects your relationship with family members or friends in a negative way? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 8. Do you feel strained when you are around your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 9. Do you feel that your health has suffered because of your involvement with your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 10. Do you feel that you don’t have as much privacy as you would like because of your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 11. Do you feel that your social life has suffered because you are caring for your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 12. Do you feel that you have lost control of your life since your relative’s illness? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 13. Do you feel uncertain about what to do about your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 14. Do you feel you should be doing more for your relative? Never Rarely Sometimes Quite frequently Nearly always OK Question Title * 15. Do you feel you could do a better job in caring for your relative? Never Rarely Sometimes Quite frequently Nearly always OK DONE