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