Formal Formal Care 22 In the past did you or (care Administration Credit the developers by supports and Services recipient): instructions are using the complete Use II) Have a homemaker who helped included on the citation. No other with shopping, cleaning, laundry, instrument. permissions are required. p. 43-48 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? Health Caregiver 18 During the past week or so, I have Scoring and Contact for permission. been edgy or irritable. interpretation During the past week or so, I have instructions are Questionnaire felt lonely. included on the Please rate your current health instrument. () compared to what it was this time last year. Health Duke Health 8 During the past week, how much Administration and Contact for permission. Profile trouble have you had with feeling scoring instructions are (DUKE-8) depressed or sad? included on the During the past week, how instrument. () did you socialize with other people? (continued) Evaluation Instrument Details (continued) Instruments indicated with an asterisk (*) are available upon request from the National Alzheimer’s and Dementia Resource Center
Formal supports Formal Care and Services Use II) p. 43-48 () 22 In the past 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. Health Duke Health Profile (DUKE-8) () 8 During the past week, how much trouble have you had with feeling depressed or sad? During the past week, how did you socialize with other people? Administration and scoring instructions are included on the instrument. Contact for permission. (continued) Evaluation Instrument Details (continued) Instruments indicated with an asterisk (*) are available upon request from the National Alzheimer’s and Dementia Resource Center
2018EvalMeasuresResourceList%20508_0.docx