Medication Adherence Assessment Questionnaire, MAS-12 Test - the question form
Questions: 10 · 2 minutes
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1. Over the past three weeks, I took the prescribed daily dose of my medication.
1 - Never
2 - Rarely
3 - Sometimes
4 - Often
5 - Always
2. Over the past three weeks, I have followed instructions about when and how often to take my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
3. I stopped taking my medications on my own (not counting times when I forgot to take them).
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
4. I feel comfortable asking my treating doctor about my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
5. My treating clinician is understanding when I tell them about my preferences regarding how I take my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
6. My doctor understands me when I explain my past treatment, including any previous allergic reactions.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
7. I understand both the intended effects and the possible side effects of my medications.
1 - Never
2 - Rarely
3 - Sometimes
4 - Often
5 - Always
8. I report side effects, allergic reactions, or unusual symptoms caused by my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
9. I agree that, to treat my condition, I need to take my medications as prescribed.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
10. Taking my medications is part of my daily routine, like eating or brushing my teeth.
1 - Never
2 - Rarely
3 - Sometimes
4 - Often
5 - Always
1. Over the past three weeks, I took the prescribed daily dose of my medication.
Never
Rarely
Sometimes
Often
Always
2. Over the past three weeks, I have followed instructions about when and how often to take my medications.
1 - Never
2 - Rarely
3 - Sometimes
4 - Often
5 - Always
3. I stopped taking my medication(s) on my own (not counting times when I forgot to take them).
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
4. I feel comfortable asking my treating clinician about my medications.
1 - Never
2 - Rarely
3 - Sometimes
4 - Often
5 - Always
5. My treating clinician is understanding when I tell him/her about my preferences in taking my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
6. My doctor understands when I explain my past treatment, including any previous allergic reactions.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
7. I understand both the main effects and the side effects of my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
8. I report side effects, allergic reactions, or unusual symptoms caused by taking my medications.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
9. I agree that taking my medications as prescribed is necessary to treat my condition.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always
10. Taking my medications is part of my daily routine, like eating or brushing my teeth.
1 – Never
2 – Rarely
3 – Sometimes
4 – Often
5 – Always