Skip to content

Home
About
Services
Floor Plans
Contact
(256) 617-6399

Menu

Home
About
Services
Floor Plans
Contact
(256) 617-6399

Facebook Instagram Mobile-alt

Main Menu

Home
About
Services
Floor Plans
Contact
(256) 617-6399

Facebook Instagram Mobile-alt

Caregiver Burnout Assessment

Exploring the Depths of Caregiver Emotions Madison at the range

- Step 1 of 2

Please Enter your Data to Start our Quiz

Name *

Email *

Phone

How often do you find yourself suppressing your emotions to stay strong for the person you are caring for? *

Rarely or never
Occasionally
Frequently
Almost always

In the past month, have you noticed a significant change in your ability to concentrate on tasks unrelated to caregiving? *

No change
Slight change
Noticeable change
Significant change

To what extent do you feel a sense of isolation or loneliness in your role as a caregiver? *

Not at all
A little
Moderately
Extremely

How often do you experience guilt or self-blame related to your caregiving responsibilities? *

Rarely or never
Occasionally
Frequently
Almost always

Have you noticed any changes in your physical health, such as headaches or stomach issues, since taking on caregiving duties? *

No changes
Slight changes
Moderate changes
Significant changes

In the past two weeks, how often have you felt overwhelmed by the tasks and responsibilities associated with caregiving? *

Never
Rarely
Occasionally
Frequently

Do you feel that your own needs and well-being are often neglected due to your caregiving responsibilities? *

Not at all
A little
Moderately
Completely

How satisfied are you with the support you receive from friends and family in your role as a caregiver? *

Very satisfied
Somewhat satisfied
Neutral
Dissatisfied

To what extent do you feel that your personal and professional life has been affected by your caregiving responsibilities? *

Not at all
Slightly
Moderately
Significantly

In the past month, have you experienced a significant decrease in your interest or enjoyment in activities that you used to find pleasurable? *

Not at all
A little
Moderately
Very much

Total Points

$0.00

Our Team

Visit Us

About Atlas

Follow Us

Leadership Team
Assisted Living
Memory Care
Respite Care
Programs
Blog

10801 County Line

Madison, AL 35758

(256)617-6399

Vendors
Management
Privacy Policy
FAQs

Equal Housing Opportunity

Facebook
Instagram
LinkedIn
YouTube

Alabama
Florida
Georgia
Kentucky
Mississippi
South Carolina
Tennessee
Texas

Copyright © Atlas Senior Living - Privacy Policy | Terms of Use | Careers | 𓆣 Report a bug or technical issue

Start typing and press enter to search

Search...

Please note that Madison at the Range and its parent company, Atlas Senior Living, use cookies as outlined in Atlas Senior Living’s Privacy Policy, where you can individually opt out of this practice. By continuing to browse Madison at the Range’s website, you agree to its use of cookies.

Skip to content

Accessibility Tools

Increase Text
Decrease Text
Grayscale
High Contrast
Negative Contrast
Light Background
Links Underline
Readable Font
Reset

Sitemap