Sample of the CIIQ

The Caregiver Indirect and Informal Care Cost Assessment Questionnaire (CIIQ) is a standardized questionnaire encompassing a total of 13 questions regarding caregiver current and previous work status, productivity, and the provision of informal care (stratified by time devoted to household activities, personal care, practical support, and emotional support).

Download a review copy of the English version of the CIIQ below:

The CIIQ Review Copy US English Version

The CIIQ is available in UK English, US English, German, French, Italian, Danish, Norwegian, Finish, and Swedish (additional language versions in development).