Positive Affect Negative Affect Scale
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This scale consists of a number of words that describe different feelings and emotions. Read each item and then mark the appropriate answer in the space next to that word. Indicate to what extent you feel this way right now, that is, at the present moment.
Use the following scale to record your answers:
1 - Very slightly or not at all
2 - A little
3 - Moderately
4 - Quite a bit
5 - Extremely |
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The Multidimensional Health Locus of Control Scale
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The survey has 24 statements.
Instructions: Each item below is a belief statement about your health with which you may agree or disagree. Beside each statement is a scale which ranges from strongly disagree(1) to strongly agree (6). For each item we would like you to insert the scale that represents the extent to which you disagree or disagree with the statement. The more strongly you agree with a statement, then the higher will be the number you insert. Please make sure that you answer every item and you insert only one number per item. This is a measure of your personal beliefs; obviously, there are no right or wrong answers.
1 = STRONGLY DISAGREE (SD) 4 = SLIGHTLY AGREE (A)
2 = MODERATELY DISAGREE (MD) 5 = MODERATELY AGREE (MA)
3 = SLIGHTLY DISAGREE (D) 6 = STRONGLY AGREE (SA) |
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* 1. If I get sick, it is my own behavior which determines how soon I get well again.
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* 2. No matter what I do, if I am going to get sick, I
will get sick. |
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* 3. Having regular contact with my physician is the best way
for me to avoid illness |
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* 4. If my health worsens, it is up to God to determine whether I
will feel better again. |
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| * 5. Most things that affect my health happen to me by accident. |
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* 6. Whenever I don't feel well, I should consult a medically
trained professional. |
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| * 7. I am in control of my health. |
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| * 8. Most things that affect my health happen because of God. |
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| * 9. My family has a lot to do with my becoming sick or staying healthy. |
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| * 10. When I get sick, I am to blame. |
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| * 11. Luck plays a big part in determining how soon I will recover from an illness. |
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| * 12. God is directly responsible for my health getting better or worse. |
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| * 13. Health professionals control my health. |
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| * 14. My good health is largely a matter of good fortune. |
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| * 15. The main thing which affects my health is what I myself do. |
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| * 16. Whatever happens to my health is God's will. |
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| * 17. If I take care of myself, I can avoid illness. |
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| * 18. Whenever I recover from an illness, it's usually because other people (for example, friends, nurses, doctors, family) have been taking good care of me. |
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| * 19. No matter what I do, I'm likely to get sick. |
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| * 20. Whether or not my health improves is up to God. |
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| * 21. If it's meant to be, I will stay healthy. |
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| * 22. If I take the right actions, I can stay healthy. |
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| * 23. Regarding my health, I can only do what my doctor tells me to do. |
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| * 24. God is in control of my health. |
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SF-1 2v2TM Health Survey Scoring Demonstration
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| This question asks for your views about your health. This information will help keep track of how you feel and how well you are able to do your usual activities. If you are unsure about how to answer this question, please give the best answer you can. |
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| * 1. In general, would you say your health is: |
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| * 1. How confident are you filling out medical forms by yourself? |
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| * 2. How often do you have someone (like a family member, friend, hospital/clinic worker, or caregiver) help you read hospital materials? |
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* During the past 4 weeks...
How much have you been bothered by thoughts or worry about your chances of getting cancer?
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