University of Washington Self-Efficacy Scale 6-item short form

How confident are you that	Not at all	A little	Quite a bit	A lot	Completely
1. You can keep the physical discomfort related to your health condition or disability from interfering with the things you want to do?	□	□	□	□	□
2. You can keep your health condition or disability from interfering with your ability to deal with unexpected events?	□	□	□	□	□
3. You can keep your health condition or disability from interfering with your ability to interact socially?	□	□	□	□	□
4. You can keep your health condition or disability from being the center of your life?	□	□	□	□	□
5. You can bounce back from frustration, discouragement or disappointment that your health condition or disability may cause you?	□	□	□	□	□
6. You can figure out effective solutions to issues that come up related to your health condition or disability?	□	□	□	□	□

Items can be summed and then transformed to generate a total score for each form. Responses to items are made on a five-point scale: 1 = not at all, 2 = a little, 3 = quite a bit, 4 = a lot, 5 = completely