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Here is a list of some things that other people do for us or give us that may be helpful or supportive. Please read each statement carefully and select the response that is closest to your situation. Answer each item as best as you can. There are no right or wrong answers.

1. 1. People who care about what happens to me

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
2. 2. Love and affection

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
3. 3. Chances to talk to someone about problems at work or home

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
4. 4. Chances to talk to someone I trust about my personal and family problems

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
5. 5. Chances to talk about money matters

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
6. 6. Invitations to go out and do things with other people

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
7. 7. Useful advice about important things in life

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5
8. 8. Help when I’m sick in bed

   As much as I would like

    

   Much less than I would like

   1

   2

   3

   4

   5