Welcome to this survey. Press Next to begin.





Please answer the following questions.





During the PAST TWO WEEKS, how often you feel the way described in each of the following statements.





… how often did you feel that you lacked companionship?





… how often did you feel left out?





… how often did you feel isolated from others?





Read each of the following statements carefully, indicate how you felt during the PAST TWO WEEKS





There is a special person who is around when I am in need.





There is a special person with whom I can share my joys and sorrows.





My family really tries to help me.





I get the emotional help and support I need from my family





I have a special person who is a real source of comfort to me.





My friends really try to help me.





Read each of the following statements carefully, indicate how you felt during the PAST TWO WEEKS





I can count on my friends when things go wrong.





I can talk about my problems with my family.





I have friends with whom I can share my joys and sorrows.





There is a special person in my life who cares about my feelings.





My family is willing to help me make decisions.





I can talk about my problems with my friends.





During the PAST TWO WEEKS:





… how often have you been upset because of something that happened unexpectedly?





… how often have you felt that you were unable to control important things in your life?





… how often have you felt nervous and stressed?





… how often have you dealt successfully with irritating life hassles?





… how often have you felt that you were effectively coping with important changes that were occurring in your life?





… how often have you felt confident about your ability to handle your personal problems?





… how often have you felt that things were going your way?





During the PAST TWO WEEKS:





… how often have you found that you could not cope with all the things that you had to do?





… how often have you been able to control irritations in your life?





… how often have you felt that you were on top of things?





… how often have you been angered because of things that happened that were outside your control?





… how often have you found yourself thinking about things that you have to accomplish ?





… how often have you been able to control the way you spend your time ?





… how often have you felt difficulties were piling up so high that you could not overcome them?





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