| Not at all | A little | Moderately | Mostly | Complete ly |
|
|---|---|---|---|---|---|
| 14. Do you have enough energy for everyday life? |
1 | 2 | 3 | 4 | 5 |
| 15. Are you able to accept your bodily appearance? | 1 | 2 | 3 | 4 | 5 |
| 16. Have you enough money to meet your needs? | 1 | 2 | 3 | 4 | 5 |
| 17. To what extent do you feel accepted by the people you know? |
1 | 2 | 3 | 4 | 5 |
| 18. How available to you is the information that you need in your day-to-day life? |
1 | 2 | 3 | 4 | 5 |
| 19. 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 | |
| 20. How well are you able to get around? | 1 | 2 | 3 | 4 | 5 |