Questions | Answers | |||
---|---|---|---|---|
1. Do you accept your disease? | Not at all | A little Enough | Much | Very much |
2. Do you accept the limitation related to your disease? | Not at all | A little Enough | Much | Very much |
3. Does your family help you manage your disease? | Not at all | A little Enough | Much | Very much |
4. Do your friends and/or other people you know help you manage your disease? | Not at all | A little Enough | Much | Very much |
5. Do you ever forget to take your medicines? | Not at all | A little Enough | Much | Very much |
6. Do you ever change the time you take your medicines? | Not at all | A little Enough | Much | Very much |
7. Do you ever change your treatment according to how you feel? | Not at all | A little Enough | Much | Very much |
8. Do you ever change oxygen therapy prescriptions (amount and timing)? (If pertinent) | Not at all | A little Enough | Much | Very much |
9. When you are at home, do you manage to follow the diet suggested to you? | Not at all | A little Enough | Much | Very much |
10. When you are at home, do you manage to avoid smoking? (If pertinent) | Not at all | A little Enough | Much | Very much |
11. When you are at home, do you manage to exercise at least three times a week? | Not at all | A little Enough | Much | Very much |
Note: Data from Majani et al.1