Caregiver Work Productivity Risk Stratification Tool Prototype

Strain Assessment Components

1. Emotional Difficulty Related to Caregiving (0-5 scale)

2. Frequency of Feeling Upset (0-4 scale)

3. Frequency of Feeling Calm and Peaceful (0-4 scale)

4. Physical Difficulty (0-5 scale)

5. Financial Difficulty (0-5 scale)

6. Social Participation Restrictions (count of 3 activities)

7. Time Constraints - No Time for Self (0-2 scale)

8. Care Burden - More Than Can Handle (0-2 scale)

9. Sleep Interruption from Care (0-4 scale)

10. Feeling Exhausted at Night (0-2 scale)

11. Routine Disruption from Changing Care Needs (0-2 scale)