Caregivers Support and Assessment
Caregiver Self-Assessment
UnityPoint Health is dedicated to providing caregivers the support they need to take care of themselves as they are caring for someone they love. Please take a moment to complete the two exercises below.
Exercise A
Use the thermometer as a guide by picking a number (0-10) that best describes how much distress you have experienced in the past week, including today.

Exercise B
It is helpful to be aware of your specific stressor. Please place a check next to the statements below to identify what you have experienced in the past week, including today.
__ Difficulty leaving my loved one alone
__ My own health concerns
__ Ignored my own basic needs
__ Lack of support from family and/or friends
__ Feeling torn between responsibilities
__ Feeling edgy or irritable
__ Feeling down, depressed or hopeless
__ Feeling disconnected
__ Loss of meaning of life
__ Feeling nervous, anxious, on edge
__ Not being able to stop worrying
__ Little interest/pleasure in doing things
Click here for a list of resources available as you care for your loved one