Thoughts and Feelings Questionnaire

Year 1 Thoughts and Feelings Questionnaire - Part I

Not answered

16. Get on your nerves?

17. Ask too much of you?

18. Do not include you?

19. Try to get you to do things you don't want to?

These questions are about your behavior, feelings, and experiences. Please answer each question as honestly as you can. Make sure you look at both sides of the page. Your answers will be kept secret and will never be put with your name in a report. Please answer using your first thoughts about each question. Do not go back later to "figure out" answers. Your answers will help us to understand the health of women like you. Thank you for your help.

People sometimes look to others for help, friendship, or other types of support. Next are some questions about the support that you have. How often is each of the following kinds of support available to you if you need it?

	None of the time	A little of the time	Some of the time	Most of the time	All of the time	Not answered
1. Someone you can count on to listen to you when you need to talk
2. Someone to give you good advice about a problem
3. Someone to take you to the doctor if you need it
4. Someone to have a good time with
5. Someone to help you understand a problem when you need it
6. Someone to help with daily chores if you are sick
7. Someone to share your most private worries and fears
8. Someone to do something fun with
9. Someone to love you and make you feel wanted

The next questions are about your living and social activities.

10. Who lives with you?
		Yes	No	Not Answered
	10.1 I live alone
	10.2 I live with my husband or partner
	10.3 I live with my children
	10.4 I live with my brother and/or sister
	10.5 I live with other relatives
	10.6 I live with friends
	10.7 Other (describe):

11. Do you have a pet?
	Yes No (Skip to Question 12) Not answered

	11.1 What kind of pet do you have? (Mark all that apply)
		Cat(s) Dog(s)	Bird(s) Fish	Other (specify):

12. How often have you gone to a religious service or to church during the past month?
	Not at all in the past month Once in the past month 2 or 3 times in the past month Once a week 2 to 6 times a week Every day Not answered

13. How much does religion give you strength and comfort?
	None A little A great deal Not answered

14. How often have you gone to meetings of clubs, lodges, or parent groups in the last month?
	Not at all in the past month Once in the past month 2 or 3 times in the past month Once a week 2 to 6 times a week Every day Not answered

The next questions are about the people who are important in your life right now.

15. Are you now helping at least one sick, limited, or frail family member or friend on a regular basis?
	Yes No (Skip to Question 16) Not answered

15.1 In the past 4 weeks, how often have you helped this friend or family member?

Of the people who are important to you, how many

Please answer the following questions about yourself. Try not to let an answer to one question affect your answer to other questions.

	Strongly Disagree	Disagree	Neutral (in-between)	Agree	Strongly Agree	Not answered
20. In unclear times, I usually expect the best
21. If something can go wrong for me, it will
22. I'm always hopeful about my future
23. I hardly ever expect things to go my way
24. I rarely count on good things happening to me
25. Overall, I expect more good things to happen to me than bad
26. When I am angry, people around me usually know
27. People can tell from my facial expressions how I am feeling
28. I always express disappointment when things don't go as I'd like them to
29. If someone makes me angry in a public place, I will "cause a scene"
30. After I express anger at someone, it bothers me for a long time
31. I try to suppress my anger, but I would like other people to know how I feel
32. I worry that if I express negative emotions such as fear and anger, other people will not approve of me

The following questions are about your opinions and beliefs. Read each statement and decide whether it is true as applied to you or false as applied to you. If the statement is true or mostly true, mark under the "true" column. If it is false or usually false, mark under the "false" column. Remember to give your own opinion of yourself. Do not leave any blank lines if you can avoid it; try to make some answer to every statement.

	False	True	Not Answered
33. I have often had to take orders from someone who did not know as much as I did
34. I think a great many people make a lot of their bad luck in order to gain the sympathy and help of others
35. It takes a lot of argument to convince most people of the truth
36. I think most people would lie to get ahead
37. Most people are honest mainly through fear of being caught
38. Most people will use somewhat unfair means to gain profit or an advantage rather than to lose it
39. No one cares much what happens to you
40. It is safer to trust nobody
41. Most people make friends because friends are likely to be useful to them
42. Most people inwardly do not like putting themselves out to help other people
43. I have often met people who were supposed to be experts who were no better than I
44. People often demand more respect for their own rights than they are willing to allow for others
45. A large number of people are guilty of bad sexual behavior