Is there anyone who regularly depends on you for help or support? By that I mean that you do things they couldn’t manage for themselves because of illness, disability or old age or some other reason? Please don’t include any childcare you have just told me about.

What relationship do they have to you?

What do you help with?

How many hours do you spend helping them in an average week?

How much of a strain is it?

Does the person live in the same household as you?

Part 1:
Yes
No

Part 2:
Spouse
Parent
Parent-in-law
brother/sister
brother-in-law/sister-in-law
own child
child (step, adopted etc.)
Friend other

Part 3:
personal care (bathing, taking medicine etc.)
mobility round house
household chores (cleaning, cooking etc.)
transportation outside (take shopping etc.)
dealing with officials, financial affairs etc.
Companionship
‘everything’
errands (do shopping, get pension, post letters etc.)
Other

Part 4:
Number of hours

Part 5:
a great strain
quite a strain
a moderate strain
not much of a strain
no strain at all

Part 6:
resident in same household
lives in another household
lives in an institution