Division of Geriatric Medicine, Lund University, Malm University Hospital, Malm, Sweden
Slve Elmsthl
Caregiver Burden Scale
Questions
Please, place a tick in the appropriate box.
No 1. Do you feel tired and worn out?
Not at all1
Seldom2
Sometimes3
Often4
No 2. Do you feel lonely and isolated because of your relatives problem?
Not at all1
Seldom2
Sometimes3
Often4
No 3. Do you think you have to shoulder too much responsibility for your relatives welfare?
Not at all1
Seldom2
Sometimes3
Often4
No 4. Do you sometimes feel as if you would like to run away from the entire
situation you find yourself in?
Not at all1
Seldom2
Sometimes3
Often4
No 5. Do you find yourself facing purley practical problems in the care of your
relative that you think are difficult to solv?
Not at all1
Seldom2
Sometimes3
Often4
No 6. Do you ever feel offended and angry with your relative?
Not at all1
Seldom2
Sometimes3
Often4
Division of Geriatric Medicine, Lund University, Malm University Hospital, Malm, Sweden
Slve Elmsthl
Caregiver Burden Scale
Questions
Please, place a tick in the appropriate box.
No 7. Do you think your own health has suffered because you have been taking care of your
relative?
Not at all1
Seldom2
Sometimes3
Often4
No 8. Has your social life, eg with family and friends, been lessened?
Not at all1
Seldom2
Sometimes3
Often4
No 9. Does the physical environment make it troublesome for you taking care of your
relative?
Not at all1
Seldom2
Sometimes3
Often4
No 10. Do you feel tied down by your relatives problem?
Not at all1
Seldom2
Sometimes3
Often4
No 11. Do you feel embarrassed by your relatives behaviour?
Not at all1
Seldom2
Sometimes3
Often4
No 12. Has your relatives problem prevented you from doing what you had
planned to do in this phase of your life?
Not at all1
Seldom2
Sometimes3
Often4
Division of Geriatric Medicine, Lund University, Malm University Hospital, Malm, Sweden
Slve Elmsthl
Caregiver Burden Scale
Questions
Please, place a tick in the appropriate box.
No 13. Do you find it physically trying to take care of your relative?
Not at all1
Seldom2
Sometimes3
Often4
No 14. Do you think you spend so much time with your relative that the time for
yourself is insufficient?
Not at all1
Seldom2
Sometimes3
Often4
No 15. Do you worry about not taken care of your relative in the proper way?
Not at all1
Seldom2
Sometimes3
Often4
No 16. Are you sometimes ashamed of your relatives behaviour?
Not at all1
Seldom2
Sometimes3
Often4
No 17. Is there anything in the neighbourhood of your relatives home making it
troublesome for you to take care of your relative?
Not at all1
Seldom2
Sometimes3
Often4
No 18. Have you experienced economic sacrifice because you have been taking care
of your relative?
Not at all1
Seldom2
Sometimes3
Often4
Division of Geriatric Medicine, Lund University, Malm University Hospital, Malm, Sweden
Slve Elmsthl
Caregiver Burden Scale
Questions
Please, place a tick in the appropriate box.
No 19. Do you find it mentally trying to take care of your relative?
Not at all1
Seldom2
Sometimes3
Often4
No 20. Have you a feeling that life has treated you unfairly?
Not at all1
Seldom2
Sometimes3
Often4
No 21. Had you expected that life would be different than it is at your age?
Not at all1
Seldom2
Sometimes3
Often4
No 22. Do you avoid inviting friends and acquaintances home because of your
relatives problem?
Not at all1
Seldom2
Sometimes3
Often4
http://www.skane.se/pages/501200/Caregiver%20Burden%20Scale_Eng_ver%5B1%5D.pdf
Reference: Elmsthl et al, Arch Phys Med Rehabil Vol 77, February 1996 .
