The Client Empowerment Scale (CES)
| Item number | Item statement | Strongly disagree | Disagree | Unsure | Agree | Strongly agree |
|---|---|---|---|---|---|---|
| 1 | I am confident managing the difficulties associated with my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 2 | My provider listens attentively to me | 1 | 2 | 3 | 4 | 5 |
| 3 | I would identify problems related to my chronic health condition to elected town and government officials for the benefit of all patients | 1 | 2 | 3 | 4 | 5 |
| 4 | I have the right to discuss my use of medication with my provider | 1 | 2 | 3 | 4 | 5 |
| 5 | I would stop a prescribed therapy that I am not satisfied with, even if it contradicts my provider’s recommendations | 1 | 2 | 3 | 4 | 5 |
| 6 | I am confident performing the skills necessary for managing my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 7 | I share my health experiences with peers | 1 | 2 | 3 | 4 | 5 |
| 8 | I collaborate with my provider in planning my health care regimen | 1 | 2 | 3 | 4 | 5 |
| 9 | I would ask my provider to change my medication when it does not satisfy me | 1 | 2 | 3 | 4 | 5 |
| 10 | I know what helps me stay motivated to better manage my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 11 | I would ask elected town and government officials to consider including patients in the health policy process | 1 | 2 | 3 | 4 | 5 |
| 12 | My provider encourages me to participate more in decisions related to my health care regimen | 1 | 2 | 3 | 4 | 5 |
| 13 | I am confident overcoming the obstacles that prevent me from achieving my health goals | 1 | 2 | 3 | 4 | 5 |
| 14 | To improve the health care of peers, I would contact elected town and government officials by writing them a letter | 1 | 2 | 3 | 4 | 5 |
| 15 | My provider spends a fair amount of time during a visit | 1 | 2 | 3 | 4 | 5 |
| 16 | I know how to reach the goals I set about my health problems | 1 | 2 | 3 | 4 | 5 |
| 17 | I would talk to my provider if I feel that a wrong therapy is prescribed for me | 1 | 2 | 3 | 4 | 5 |
| 18 | My provider regards my knowledge and experience in taking care of my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 19 | I know my capabilities and strengths necessary for managing my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 20 | I am responsible for the decisions I make about my health | 1 | 2 | 3 | 4 | 5 |
| 21 | I would state my opinion to elected town and government officials for the benefit of all peers | 1 | 2 | 3 | 4 | 5 |
| 22 | The positive attitudes of my provider motivates me to participate more in making decisions related to my health care regimen | 1 | 2 | 3 | 4 | 5 |
| 23 | I am confident using my abilities to reach my health goals | 1 | 2 | 3 | 4 | 5 |
| 24 | I make the final decision regarding my health care | 1 | 2 | 3 | 4 | 5 |
| 25 | My provider supports my health care choices even if it contradicts with his/her recommendations | 1 | 2 | 3 | 4 | 5 |
| 26 | I would talk to provider if I feel that a wrong procedure is to be performed on me | 1 | 2 | 3 | 4 | 5 |
| 27 | I know where to find support for my health care needs | 1 | 2 | 3 | 4 | 5 |
| 28 | To improve the health care of peers, I would place a call to elected town and government officials | 1 | 2 | 3 | 4 | 5 |
| 29 | I feel having a voice when interacting with my provider | 1 | 2 | 3 | 4 | 5 |
| 30 | I am confident managing the pain associated with my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 31 | I am comfortable discussing my health concerns with my provider | 1 | 2 | 3 | 4 | 5 |
| 32 | I have the right to discuss my food preferences with my provider | 1 | 2 | 3 | 4 | 5 |
| 33 | I know my role versus the roles of my provider when solving problems associated with my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 34 | I would contact elected town and government officials to expand health coverage for the alternative therapies | 1 | 2 | 3 | 4 | 5 |
| 35 | I assist peers to manage their chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 36 | I am comfortable asking my provider questions related to my health problems | 1 | 2 | 3 | 4 | 5 |
| 37 | I am confident performing therapeutic exercises as prescribed | 1 | 2 | 3 | 4 | 5 |
| 38 | I would ask elected town and government officials to provide me with available community resources | 1 | 2 | 3 | 4 | 5 |
| 39 | I am comfortable expressing my feelings to my provider | 1 | 2 | 3 | 4 | 5 |
| 40 | I can refuse any treatment suggested by my provider if it does not satisfy me | 1 | 2 | 3 | 4 | 5 |
| 41 | I would ask my provider to change the dietary regimen if it does not satisfy me | 1 | 2 | 3 | 4 | 5 |
| 42 | I consider myself an equal partner when interacting with my provider | 1 | 2 | 3 | 4 | 5 |
| 43 | I would attend an event or a public meeting to discuss problems related to my chronic health condition | 1 | 2 | 3 | 4 | 5 |
| 44 | I often request additional health resources from my provider when needed | 1 | 2 | 3 | 4 | 5 |