Not at all	A little	moderate amount	Very much	An extreme amount
3. To what extent do you feel that physical pain prevents you from doing what you need to do?	1	2	3	4	5
4. How much are you bothered by any physical problems related to your HIV infection?	1	2	3	4	5
5. How much do you need any medical treatment to function in your daily life?	1	2	3	4	5
6. How much do you enjoy life?	1	2	3	4	5
7. To what extent do you feel your life to be meaningful?	1	2	3	4	5
8. To what extent are you bothered by people blaming you for your HIV status	1	2	3	4	5
9. How much do you fear the future?	1	2	3	4	5
10. How much do you worry about death?	1	2	3	4	5
	Not at all	A little	A moderate amount	Very much	Extremel y
11. How well are you able to concentrate?	1	2	3	4	5
12. How safe do you feel in your daily life?	1	2	3	4	5
13. How healthy is your physical environment?	1	2	3	4	5