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. Author manuscript; available in PMC: 2018 Apr 1.
Published in final edited form as: Health Educ Behav. 2016 Jul 18;44(2):285–296. doi: 10.1177/1090198116656331
Responses: Strongly Disagree Neither agree nor disagree Agree Strongly agree disagree
  1. I know all the medication options that are available to me

  2. I know the benefits of each option

  3. I know the risks and side effects of each option

  4. I am clear about which benefits matter most to me

  5. I am clear about which risks and side effects matter most

  6. I am clear about which is most important to me (the benefits or the risks and side effects)

  7. I have enough support from others to make a choice

  8. I am choosing without pressure from others

  9. I have enough advice to make a choice

  10. I am clear about the best choice for me

  11. I feel sure about what to choose

  12. This decision is easy for me to make

  13. I feel I have made an informed choice about my medications

  14. My decision shows what is important to me

  15. I expect to stick with my decision

  16. I am satisfied with my decision