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. 2004 Dec 15;2(1):A13.
  Yes No
It takes too much time...................... [X] [ ]
There is not enough time in my day..... [X] [ ]
There is no equipment at home........... [X] [ ]
There are no community resources...... [X] [ ]
I feel I am not trained to do it............ [X] [ ]
I feel I do not want to do it............... [X] [ ]
I am too tired.................................. [X] [ ]
It is too difficult............................... [X] [ ]