Physical and Physiological Factors Yes No Maybe I don’t know

1. Do you manage to take care of yourself while taking care of a family member who has COVID-19?

2. Do you feel physically drained while taking care of a family member who has COVID-19?

3. Did you experience any physical changes / pain while taking care of a family member who has COVID-19?

4. Has your sleeping pattern changed during this pandemic?

5. Did your eating habits change during this COVID-19?

6. Did you feel vulnerable during this time?

7. Are you wearing a mask and/or face shield while taking care of a family member who has COVID-19? If yes,
those this affect your daily activity? If you are not wearing protective gears please choose IDK (I don’t know)