The 17 items of the Duke questionnaire
Yes, describes me exactly | Somewhat describes me | No, doesn't describe me at all | |
---|---|---|---|
1. I like who I am | |||
2. I am not an easy person to get along with | |||
3. I am basically a healthy person | |||
4. I give up too easily | |||
5. I have difficulty concentrating | |||
6. I am happy with my family relationships | |||
7. I am comfortable being around people | |||
TODAY would you have any physical trouble or difficulty: | None | Some | A lot |
8. Walking up a flight of stairs? | |||
9. Running the length of a football field? | |||
DURING THE PAST WEEK, how much trouble have you had with: | None | Some | A lot |
10. Sleeping? | |||
11. Hurting or aching in any part of your body? | |||
12. Getting tired easily? | |||
13. Feeling depressed or sad? | |||
14. Nervousness? | |||
DURING THE PAST WEEK, how often did you: | None | Some | A lot |
15. Socialise with other people (talk or visit with friends or relatives)? | |||
16. Take part in social, religious, or recreation activities (meetings, church, movies, sports, parties)? | |||
DURING THE PAST WEEK, how often did you: | None | 1–4 days | 5–7 days |
17. Stay in your home, a nursing home, or hospital because of sickness, injury, or other health problem? |