2A-EDIZ
| User ID | Date | Name | Document ID | In the room, the stuff is not too close together, so there is plenty of running space and you do not always bump or stumble. | All furniture is well stable; lean on it or seek support goes without sliding or tilting. | The lazy chairs are not too deep, so getting up takes little effort. | There are no loose rugs on the ground over which you can stumble or slip. | The floor is sufficiently stiff, so that slipping is not possible. | The phone is in an easily accessible place. | On the ground there are no loose cords over which you can stumble or slip. | The things you often need are at grab height. | The floor is stiff, even if water has spilled. | The kitchen cabinets close well, so you don't bump into them. | 11. Because of my involvement with the person for whom I cared, I felt myself very bound. | Corridor and stairs are well lit. | There are no obstacles in the hallway. | There's no stuff on the stairs. | The stairs are anti slip. | The carpeting on the stairs is well fixed; the possible steps as well. | The staircase has a solid handrail on both sides. | De trap heeft aan beide zijden een solide leuning. | Consent | Entry Date | Entry ID | User IP |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5 | 11/03/2025 | 1.234.567.890 | Yes | No | Yes | Yes | Yes | Agree | Agree | Agree | Agree | Agree | Agree | Agree | Agree | Agree | Decreased | checked | 11/03/2025 06:32 PM | 135 | 186.189.47.10 | ||||
| 8 | 22/02/2025 | 1.007.158.819 | Yes | Yes | Yes | No | Yes | Agree | Disagree | Agree | Disagree | Agree | Agree | Disagree | Disagree | Agree | Increased | checked | 22/02/2025 09:19 PM | 106 | 181.59.148.120 | ||||
| 8 | 09/02/2023 | 1.007.158.819 | Yes | No | No | Yes | Yes | Disagree | Agree | Disagree | Agree | Disagree | Agree | Disagree | Disagree | Agree | Decreased | checked | 09/02/2023 08:44 PM | 89 | 181.41.13.121 | ||||
| 8 | 09/02/2023 | 1.007.158.818 | Yes | No | Yes | Yes | Has not so bad | Do not agree or disagree | Agree | Disagree | Disagree | Disagree | Disagree | Disagree | Do not agree or disagree | Agree | Decreased | checked | 09/02/2023 08:37 PM | 88 | 181.41.13.121 | ||||
| 40 | 07/12/2022 | 1.007.158.818 | No | Has not so bad | Yes | No | Yes | Disagree | Do not agree or disagree | Disagree | Disagree | Agree | Disagree | Do not agree or disagree | Agree | Disagree | Disagree | checked | 07/12/2022 03:45 PM | 41 | 186.170.219.49 | ||||
| 40 | 06/12/2022 | 1.007.158.819 | Yes | No | No | No | Yes | Do not agree or disagree | Agree | Disagree | Agree | Agree | Disagree | Agree | Disagree | Disagree | Disagree | checked | 06/12/2022 10:19 PM | 31 | 186.170.219.49 | ||||
| 40 | 06/12/2022 | 1.007.158.818 | Yes | Yes | No | No | Yes | Agree | Disagree | Do not agree or disagree | Agree | Disagree | Disagree | Agree | Agree | Disagree | Disagree | checked | 06/12/2022 10:19 PM | 30 | 186.170.219.49 |
2B - EDIZ
| User ID | Date | Name | Document ID | 1. Have you done your work or other activities less carefully than you used to because you were so busy with helping? | 2. At the time did you have more trouble than usual to arrange your household? | 3. Were you too tired in your spare time to do something during that period? | 4. Have you become ill or overwrought in the period that you have helped because you have to had many obligations at once? | 5. Did you regularly run out of time during that period? | 6. On the whole I felt very under pressure from the situation of the person for whom I care. | 7. My independence was in trouble. | 8. The help for the one for whom I cared was too much on my shoulders. | 9. Combining the responsibility for the person for whom I took care of and the responsibility for my work and / or family was not included. | 10. I always had to be ready for the one for whom I cared | 11. Because of my involvement with the person for whom I cared, I felt myself very bound. | 12. Because of my involvement with the person I cared for, I got conflicts at home and / or at work. | 13. The situation of the person I cared for never let me go. | 14. I never felt free from responsibilities. | 15. Has your health increased or decreased as a result of providing help? | There are signs of physical and emotional exhaustion such as headache, insomnia or depressive feelings. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 05/09/2025 | 1.007.158.819 | Yes | Yes | No | Yes | Yes | Disagree | Agree | Agree | Disagree | Disagree | Agree | Agree | Agree | Disagree | Increased | Yes | ||
| 5 | 11/03/2025 | 1.234.567.890 | No | No | Yes | No | No | Do not agree or disagree | Disagree | Disagree | Disagree | Disagree | Disagree | Agree | Agree | Agree | Decreased | No | |
| 8 | 22/02/2025 | 1.007.158.819 | Yes | No | Yes | Yes | No | Do not agree or disagree | Disagree | Do not agree or disagree | Disagree | Agree | Disagree | Disagree | Disagree | Disagree | Decreased | No | |
| 40 | 07/12/2022 | 1.007.158.818 | Yes | No | Has not so bad | Yes | No | Do not agree or disagree | Disagree | Agree | Agree | Disagree | Do not agree or disagree | Agree | Disagree | Disagree | Disagree | Yes |