| Response scale | Please tick all that apply:
Personal care?
(Things like dressing, bathing, washing, shaving, cutting nails, feeding, using the toilet)
Physical help?
(Such as helping with walking, getting up and down stairs, getting into and out of bed)
Helping with dealing with care services and benefits?
(Things like making appointments and phone calls, filling in forms)
Helping with paperwork or financial matters?
(Such as writing letters, sending cards, filling in forms, dealing with bills, banking)
Other practical help?
(Things like preparing meals, doing his/her shopping, laundry, housework, gardening, decorating, household repairs, taking to doctor’s or hospital)
Keeping him/her company?
(Things like visiting, sitting with, reading to, talking to, playing cards or games)
Taking him/her out?
(Such as taking out for a walk or drive, taking to see friends or relatives)
Giving medicines?
(Things like making sure he/she takes pills, giving injections, changing dressings)
Keeping an eye on him/her to see he/she is all right?
Giving emotional support?
Other help?
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