|
Strongly Disagree |
Moderately Disagree |
Disagree |
Agree |
Moderately Agree |
Strongly Agree |
Not Answered |
| "Health" or "being
healthy" means:
|
| 1. Feeling great -
on top of the world |
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| 2. Being able to
adjust to changes in my surroundings |
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| 3. Fulfilling my
daily responsibilities |
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|
| 4. Being free from
symptoms of disease |
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|
| 5. Being able to do
those things I have to do |
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|
| 6. Not requiring a
doctor's services |
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|
| 7. Creatively living
life to the fullest |
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|
| 8. Adjusting to
life's changes |
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| 9. Not requiring
pills for illness or disease |
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|
| 10. Being able to
function as expected |
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| |
|
Strongly Disagree |
Moderately Disagree |
Disagree |
Agree |
Moderately Agree |
Strongly Agree |
Not Answered |
| |
| 11. Not being under
a doctor's care for illness |
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|
| 12. Facing each day
with zest and enthusiasm |
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|
| 13. Being able to
cope with stressful events |
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|
| 14. Being able to
change and adjust to demands made by the environment |
|
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|
| 15. Not being
sick |
|
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|
| 16. Actualizing my
highest and best aspirations |
|
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| 17. Adequately
carrying out my daily responsibilities |
|
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|
| 18. Living at top
level |
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|
| 19. Adapting to
things as they really are, not as I'd like them to be |
|
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|
| 20. I do not require
medications |
|
|
|
|
|
|
|
| |
|
Strongly Disagree |
Moderately Disagree |
Disagree |
Agree |
Moderately Agree |
Strongly Agree |
Not Answered |
| |
| 21. Carrying on the
normal functions of daily living |
|
|
|
|
|
|
|
| 22. Coping with
changes in my surroundings |
|
|
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|
|
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|
| 23. Realizing my
full potential |
|
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|
| 24. Fulfilling my
responsibilities as a husband/wife/son/daughter/friend/worker,
etc. |
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| 25. Having no
physical or mental incapacities |
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| 26. Performing at
the expected level |
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| 27. Not collapsing
under ordinary stress |
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| 28. My mind and body
function at their highest level |
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