1. I currently spend the following number of hours per WEEK caring for an aging parent/relative:
   1-10 hours
   11-20 hours
   21-30 hours
   31+ hours

2. I travel the following distance to care for my aging parent/relative:
   My relative lives with me
   Less than 30 minutes
   31 minutes - 2 hours
   More than 2 hours

3. The amount of care my aging parent/relative requires is very demanding:
   Strongly Agree
   Agree
   Disagree
   Strongly Disagree