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Family Burnout Assessment

For loved ones who are running on empty.

Rate over the past month: 0=Never, 1=Sometimes, 2=Often, 3=Always.

I feel emotionally exhausted from caring for my loved one.
I've lost interest in things I used to enjoy.
I feel resentful or angry more often than I'd like.
I worry constantly about my loved one.
My sleep, appetite, or health is suffering.
I feel isolated or that no one understands.
I've missed work or obligations because of caregiving.
I feel I have no time for myself.

Informational only. Not a diagnosis or medical advice. In a crisis call 988 or our 24/7 line (XXX) XXX-XXXX.

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