Statements	Not at All	A Little	Enough	Much	Very Much
1. I feel limited by this disease
2. I feel worried that I will suffer from this disease
3. I fell concerned that this disease will cause other health problems
4. I feel worried about my increased risk of cancer from this disease
5. I feel socially stigmatized for having this disease
6. I feel like I’m limited in eating meals with co workers
7. I feel like I am not able to have special foods like birthday cake and pizza
8. I feel that the diet is insufficient treatment for my disease
9. I feel that there are not enough choices for treatment
10. I feel depressed because of my disease
11. I feel frightened by having this disease
12. I feel like I don’t know enough about the disease
13. I feel overwhelmed about having this disease
14. I have trouble socializing because of my disease
15. I find it difficult to travel or take long trips because of my disease
16. I feel like I cannot live a normal life because of my disease
17. I feel afraid to eat out because my food may be contaminated
18. I feel worried about the increased risk of one of my family members having celiac disease
19. I feel like I think about food all the time
20. I feel concerned that my long-term health will be affected