Are you a Caregiver?

Please answer the following questions: Elderly woman crocheting

Do you visit/socialize with this person daily or weekly?	Yes	No
Do you call this person on a daily basis to see how he/she is?	Yes	No
Do you grocery shop/put away groceries for this person?	Yes	No
Do you make phone calls for this person regarding their personal business, i.e. phone bills, or health insurance?	Yes	No
Do you bathe and/or dress this person?	Yes	No
Do you clean the bathroom for this person?	Yes	No
Do you balance the checkbook for this person?	Yes	No
Do you have extended family members living in your home?	Yes	No
Do you drive this person (on errands, to appointments,grocery shopping, etc.) on a regular basis?	Yes	No

You may be a caregiver, but not formally define yourself as one. This questionnaire is designed to help you see some of the many ways you may be caregiving for someone else. Whether you help this person in another city or state, or you live with them, you are a caregiver.

If you need caregiving support, or need to know about community resources, call the Senior Helpline at (406) 728-7682.