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. Author manuscript; available in PMC: 2013 Jan 1.
Published in final edited form as: J Adv Nurs. 2011 Jun 12;68(1):137–146. doi: 10.1111/j.1365-2648.2011.05727.x

Table 1.

Personal Concerns Scale Sample Items and Response format

Frequency Reaction
I feel no one knows what I'm going through. 0 1 2 3 4 ? 0 1 2 3 4 ?
I worry about our family's finances. 0 1 2 3 4 ? 0 1 2 3 4 ?
It is hard for me to find time for myself. 0 1 2 3 4 ? 0 1 2 3 4 ?
I feel sad. 0 1 2 3 4 ? 0 1 2 3 4 ?
I worry that my child(ren) will develop HD 0 1 2 3 4 ? 0 1 2 3 4 ?

If you have concerns that have not been included: please write them below.

Frequency- how often has this occurred; 0= never occurred at any time, 1= not in the past month, 2= just a few times in the past month, 3= about once or twice a week in the past month, 4= several times a week, daily, or more in the past month.

Reaction- how much this bothered you;_0= not at all, 1= a little, 2= moderately, 3= very much, 4= extremely