() I show special amounts of physical Exemplary Credit the developers affection to (care recipient). Administration Caregiving by using the complete Exemplary I actively avoid treating (care instructions are II) 18 citation. No other Caregiving recipient) like a child. included on the p. 66-67 permissions are I make sure that where (care instrument. required. () recipient) lives is bright and cheery. (continued) Evaluation Instrument Details (continued) Instrument How and citation many Domain links items Sample item(s) Instructions, scoring Permissions In the past month, did you or (care recipient): Formal Care Have a homemaker who helped with Credit the developers and Services Administration shopping, cleaning, laundry, preparing by using the complete Use (REACH Formal instructions are meals, etc.? 22 citation. No other II) supports included on the Go to a center for low cost meals or permissions are p. 43-48 instrument. have cooked meals delivered to you at required. home? () Attend a senior day care or senior day health program? During the past week or so, I have been edgy or irritable. Scoring and Caregiver During the past week or so, I have felt interpretation Contact for Health 18 lonely. instructions are Questionnaire permission. Please rate your current health included on the () compared to what it was this time last instrument. year.
() Exemplary Caregiving Exemplary Caregiving II) p. 66-67 () 18 I show special amounts of physical affection to (care recipient). I actively avoid treating (care recipient) like a child. I make sure that where (care recipient) lives is bright and cheery. Administration instructions are included on the instrument. Credit the developers by using the complete citation. No other permissions are required. (continued) Evaluation Instrument Details (continued) Domain Instrument and citation links How many items Sample item(s) Instructions, scoring Permissions Formal supports Formal Care and Services Use (REACH II) p. 43-48 () 22 In the past month, did you or (care recipient): Have a homemaker who helped with shopping, cleaning, laundry, preparing meals, etc.? Go to a center for low cost meals or have cooked meals delivered to you at home? Attend a senior day care or senior day health program? Administration instructions are included on the instrument. Credit the developers by using the complete citation. No other permissions are required. Health Caregiver Questionnaire () 18 During the past week or so, I have been edgy or irritable. During the past week or so, I have felt lonely. Please rate your current health compared to what it was this time last year. Scoring and interpretation instructions are included on the instrument. Contact for permission.
2018EvalInstrumentsResourceListfinal508.docx