No	Somewhat	Moderate	Very	Extreme
Do you feel that pain will prevent you from doing what you need to do?	1	2	3	4	5
Are you troubled by related questions about HIV infection physiological problems?	1	2	3	4	5
Does your daily life rely on medical help?	1	2	3	4	5
Do you think your life is fun?	1	2	3	4	5
Do you think your life is meaningful?	1	2	3	4	5
Are you confused about others criticisms about your HIV infection?	1	2	3	4	5
Are you fearful of future?	1	2	3	4	5
Are you fearful of death?	1	2	3	4	5
Can you focus your attention?	1	2	3	4	5
Do you feel safe in your daily life?	1	2	3	4	5
Are your living environments good for your health?	1	2	3	4	5