Aging in Hingham - Town of Hingham Massachusetts

Section B. Social Activities & Relationships5. About how many friends or relatives do you have whom you could call on forassistance if you needed it?NoneOne or TwoThree or more6. How often do you talk on the phone, email, or get together with friends or relatives?NeverLess than one day per week1-3 days per week4-7 days per weekSection C. Caregiving7. Do you provide unpaid care or assistance to a disabled, ill, or elderly spouse,relative, or friend?Yes No If no, please skip to question #10.8. Has the person you provide unpaid care for been diagnosed with dementia or anyother kind of memory impairment?Yes No N/A Missing9. How difficult is it for you to care for this person and meet your other responsibilitieswith family and/or work?Very difficultSomewhat difficultNeither difficult nor easySomewhat easyVery easySection D. Health10. How would you rate your overall health at this time?ExcellentGoodFairPoor11. Do you have a primary care doctor whom you normally see when you have medicalconcerns?Yes No57