II. Indications
- Assess burden in relatives of impaired elderly
 
III. Questions (rated as 0-Never to 4-Nearly always)
- Self-administered survey completed by Caregiver
 - 
                          General feelings
- Not enough time for self
 - Over-taxed with responsibilities
 - Lost control of life
 
 - Feelings regarding caring for relative
- Uncertain about what to do for relative
 - Feeling that should do more for relative
 - Feeling that could do a better job of caring
 - Overall level of burden
 
 - Sense of responsibility
- Excessive help requests
 - Level that impaired relative depends on Caregiver
 - Sense that all responsibility falls on one Caregiver
 - Fear of future regarding impaired relative
 - Fear of not enough money to care for relative
 - Fear of not able to continue caring for relative
 - Wish to leave care of relative to someone else
 
 - Feelings when with impaired relative
- Sense of strain
 - Anger
 - Embarrassed
 - Uncomfortable about having friends over
 
 - Relationship with relative negatively impacts
- Social life
 - Other relationships with family and friends
 - Caregiver health
 - Privacy
 
 
IV. Interpretation
- No or minimal burden: 0 to 20
 - Mild to moderate burden: 21 to 40
 - Moderate to severe burden: 41 to 60
 - Severe burden: 61 to 88