1.	Do you sometimes forget to take your pills?	Yes	No
2.	People sometimes miss taking their medications for reasons other than forgetting. Thinking over the past two weeks, were there any days when you did not take your medicine?
3.	Have you ever cut back or stopped taking your medicine without telling your doctor because you felt worse when you took it?
4.	When you travel or leave home, do you sometimes forget to bring along your medicine?
5.	Did you take all your medicine yesterday?
6.	When you feel like your symptoms are under control, do you sometimes stop taking your medicine?
7.	Taking medicine every day is a real inconvenience for some people. Do you ever feel hassled about sticking to your treatment plan?
8.	How often do you have difficulty remembering to take all your medicine?