Allows the caregiver to reflect on their own strengths, challenges and emotional well-being. It also allows you to reflect on how well you are supporting your companion’s daily comfort.
Rating
0 – No concern / very confident
1 – Mild concern / sometimes confident
2 – Moderate concern / less confident
3 – High concern / struggling
A. Meeting My Pet’s Physical Needs
- I am able to provide food, water and medication, as prescribed.
- I am able to monitor my companion’s appetite, mobility and comfort.
- I am able to recognize when my companion’s condition changes.
- I maintain a comfortable and clean environment for my pet.
- I have the ability to lift/transfer my companion.
B. Comfort and Quality
- My companion appears comfortable most of the time.
- I am able to relieve stress and pain.
- I understand signs of discomfort or decline.
- I can make adjustments to improve my companion’s comfort.
- I can manage wound care (if applicable).
C. Emotional Presence
- I am spending meaningful time with my companion.
- I am providing reassurance and calm energy.
- I feel emotionally connected and present with my companion.
D. Communications with the Veterinary Team
- I feel comfortable asking my veterinary team questions.
- I report changes in my companion’s condition promptly.
- I understand the care plan and medications.
- I can afford the supplies and medications.
E. Caregiver Capacity
- I have the time and ability to provide needed care.
- I have help available, if I need support.
- I feel physically capable of assisting my companion.
- How is my stamina and overall health?
- I have existing injuries or a chronic condition.
- How are my sleep patterns / fatigue levels?
F. Emotional and Psychological Wellbeing
- I acknowledge my emotions about my companion’s illness.
- I have support from family, friends or professionals.
- I allow myself space to process difficult feelings.
- I am showing signs of stress, anxiety and/or depression.
- I am experiencing anticipatory grief.
- How overwhelmed do you feel on a daily basis?
G. Decision Readiness
- I understand my companion’s medical condition.
- I am able to think about my companion’s quality of life.
- I feel supported in making difficult decisions, if needed.
Interpretation
0–25 = You may be managing many demands, while still maintaining some balance.
26–50 = You may be carrying a growing emotional and/or physical caregiving load. Additional support, rest or connection could be helpful.
51–75 = You may be experiencing significant caregiver strain or emotional exhaustion. This may be a time to increase support and reduce the amount of caregiving alone.
76–96 = You may be feeling overwhelmed, depleted, or emotionally stretched beyond current capacity. Compassionate support, respite, and professional care may be especially important right now.