| Question | Strongly Disagree | Disagree | Agree | Strongly Agree |
| Q14: I worry about taking medicines | 1 ❏ | 2 ❏ | 3 ❏ | 4 ❏ |
| Q15: I can live without my medications | 1 ❏ | 2 ❏ | 3 ❏ | 4 ❏ |
| Q16: I do not worry about the future problems of my medicines | 1 ❏ | 2 ❏ | 3 ❏ | 4 ❏ |
| Q17: My medicines keep me healthy | 1 ❏ | 2 ❏ | 3 ❏ | 4 ❏ |
| Q18: My medicines are easy to use | 1 ❏ | 2 ❏ | 3 ❏ | 4 ❏ |
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