Questionnaire 1: Trust in people in a community |
1. |
Do you think you are discriminated against because of your diabetes? |
1 |
2 |
3 |
4 |
5 |
2. |
Would you say that mostly people try to be helpful? |
1 |
2 |
3 |
4 |
5 |
3. |
Do you think most people would try to take advantage of you if they get a chance? |
1 |
2 |
3 |
4 |
5 |
4. |
Do you listen other’s concerns and complaints? |
1 |
2 |
3 |
4 |
5 |
5. |
Do you look after someone when he/she is sick and has to stay in bed for a few days? |
1 |
2 |
3 |
4 |
5 |
|
Questionnaire 2: Social support (If you answer “Yes,” please let us know who is that “someone.”) |
6. |
Do you have someone who listens to your concerns and complaints? |
Yes/No (Housemates, Relatives, Friends, Medical Staff) |
7. |
Do you have someone who looks after you when you are sick and in bed for a few days? |
Yes/No (Housemates, Relatives, Friends, Medical Staff) |
8. |
Do you have someone who acknowledges your existence and value? |
Yes/No (Housemates, Relatives, Friends, Medical Staff) |
9. |
Do you think someone provides you proper information about your ills and health conditions? |
Yes/No (Housemates, Relatives, Friends, Medical Staff) |
|
Questionnaire 3: Social relationships (Please answer how many times you do each of the following per week on average except for item 17.) |
10. |
Do you participate in political activities, organizations, or groups? |
0 |
1–3 |
4–6 |
Over 7 |
11. |
Do you participate in a volunteer group? |
0 |
1–3 |
4–6 |
Over 7 |
12. |
Do you participate in a citizens’ group or organization? |
0 |
1–3 |
4–6 |
Over 7 |
13. |
Do you participate in religious activities, organizations or groups? |
0 |
1–3 |
4–6 |
Over 7 |
14. |
Do you participate in a sports club or groups? |
0 |
1–3 |
4–6 |
Over 7 |
15. |
Do you participate in your community’s meetings? |
0 |
1–3 |
4–6 |
Over 7 |
16. |
Do you participate in a hobby or leisure activity club? |
0 |
1–3 |
4–6 |
Over 7 |
17. |
How many times do you meet your friends per month? |
0 |
1–3 |
4–6 |
Over 7 |