Network of Care - Behavioral Health

1. The amount of friendship in your life?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

2. The amount of money you get?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

3. How comfortable and well-off you are financially?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

4. How much money you have to spend for fun?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

5. The amount of meaningful activity in your life (such as work, school, volunteer activity, leisure activity)?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

6. The amount of freedom you have?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

7. The way you and your family act toward each other?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased
Does not apply

8. Your personal safety?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

9. The neighborhood in which you live?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

10. Your housing/living arrangements?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

11. Your health in general?

Terrible
Mostly dissatisfied
Equally satisfied/dissatisfied
Mostly satisfied
Very pleased

12. How often do you have the opportunity to spend time with people you really like?

Never
Seldom/rarely
Sometimes
Often
Always

Adult Consumer