From Reis and Namiash (1995).

Caregiver Abuse Screen

Please answer the following as a helper or caregiver

YES

NO

1.

Do you sometimes have trouble making (___) control his/her temper or aggression?

___

___

2.

Do you often feel you are being forced to act out of character or do things you feel bad about?

___

___

3.

Do you find it difficult to manage (___’s) behavior?

___

___

4.

Do you sometimes feel that you are forced to be rough with (___)?

___

___

5.

Do you sometimes feel you can’t do what is really necessary or what should be done for (___)?

___

___

6.

Do you often feel you have to reject or ignore (___)?

___

___

7.

Do you often feel so tired and exhausted that you cannot meet (___’s) needs?

___

___

8.

Do you often feel you have to yell at (___)?

___

___



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