6. To what extent do you feel your life to 1 2 3 4 5 be meaningful? A moderate Very Extremely Not at all A little amount much 7. How well are you able to concentrate? 1 2 3 4 5 8. How safe do you feel in your life? 1 2 3 4 5 9. How healthy is your physical 1 2 3 4 5 environment? The following questions ask about how completely you experience or were able to do certain things in the last two weeks. Not at all A little Moderately Mostly Completely 10. Do you have enough energy for 1 2 3 4 5 everyday life? 11. Are you able to accept your bodily 1 2 3 4 5 appearance? 12. Have you enough to meet your 1 2 3 4 5 needs? 13. How available to you is the information that you need in your 1 2 3 4 5 life? 14. To what extent do you have the opportunity for leisure activities? 1 2 3 4 5 Neither Very poor Poor poor, nor Good Very good good 15. How well are you able to get around? 1 2 3 4 5 The following questions ask you to say how good or satisfied you have felt about various aspects of your life over the last two weeks. Neither Very Dissatisfied satisfied, Satisfied Very dissatisfied nor Satisfied dissatisfied 16. How satisfied are you with your sleep? 1 2 3 4 5 17. How satisfied are you with your ability to perform your living activities? 1 2 3 4 5 18. How satisfied are you with your capacity for work? 1 2 3 4 5 19. How satisfied are you with yourself? 1 2 3 4 5 20. How satisfied are you with your personal relationships? 1 2 3 4 5 21. How satisfied are you with your sex life? 1 2 3 4 5 22. How satisfied are you with the support you get form your friends? 1 2 3 4 5 23. How satisfied are you with the conditions of your living place? 1 2 3 4 5 24. How satisfied are you with your access to health services? 1 2 3 4 5
6. To what extent do you feel your life to be meaningful? 1 2 3 4 5 Not at all A little A moderate amount Very much Extremely 7. How well are you able to concentrate? 1 2 3 4 5 8. How safe do you feel in your life? 1 2 3 4 5 9. How healthy is your physical environment? 1 2 3 4 5 The following questions ask about how completely you experience or were able to do certain things in the last two weeks. Not at all A little Moderately Mostly Completely 10. Do you have enough energy for everyday life? 1 2 3 4 5 11. Are you able to accept your bodily appearance? 1 2 3 4 5 12. Have you enough to meet your needs? 1 2 3 4 5 13. How available to you is the information that you need in your life? 1 2 3 4 5 14. To what extent do you have the opportunity for leisure activities? 1 2 3 4 5 Very poor Poor Neither poor, nor good Good Very good 15. How well are you able to get around? 1 2 3 4 5 The following questions ask you to say how good or satisfied you have felt about various aspects of your life over the last two weeks. Very dissatisfied Dissatisfied Neither satisfied, nor dissatisfied Satisfied Very Satisfied 16. How satisfied are you with your sleep? 1 2 3 4 5 17. How satisfied are you with your ability to perform your living activities? 1 2 3 4 5 18. How satisfied are you with your capacity for work? 1 2 3 4 5 19. How satisfied are you with yourself? 1 2 3 4 5 20. How satisfied are you with your personal relationships? 1 2 3 4 5 21. How satisfied are you with your sex life? 1 2 3 4 5 22. How satisfied are you with the support you get form your friends? 1 2 3 4 5 23. How satisfied are you with the conditions of your living place? 1 2 3 4 5 24. How satisfied are you with your access to health services? 1 2 3 4 5
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