Thank you for your participation in the survey study conducted by The CareSide. Our goal is to learn more about some of the challenges caregivers face. 

Please only complete this survey if you are an unpaid caregiver. The survey should take approximately 2 minutes to complete

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* 1. Have you acted as an unpaid caregiver within the past 5 years?

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* 2. What is your age?

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* 3. What is your gender?

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* 4. Which country do you live in?

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* 5. How many adults are you currently acting as an unpaid caregiver for?

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* 6. Who are you currently caring for? Check all that apply.

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* 7. How long have you served as an unpaid caregiver?

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* 8. Approximately how many hours per week of unpaid caregiving work do you provide on average?

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* 9. I often feel physically or mentally exhausted due to my responsibilities as a caregiver.

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* 10. I often neglect my own needs because of my responsibilities as a caregiver.

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* 11. I feel appreciated for the work I do as a caregiver.

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* 12. I have felt resentment for the personal time I’ve lost due to my caregiving responsibilities.

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* 13. I believe I provide good and adequate care.

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* 14. I feel personally fulfilled by my work as a caregiver.

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* 15. I have time to explore hobbies and interests that I enjoy.

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* 16. Have you used in-home respite care before to get a break from your responsibilities as a caregiver?

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* 17. In-home respite care provided me with relief from my caregiving duties.

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* 18. (Optional) Please write any comments you'd like to note about your experience as a caregiver. 

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