Self-Efficacy Questionnaire Regarding Illness Test - the question form
Questions: 8 · 2 minutes
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1. I am confident that I will find a way to recover from any illness.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
2. Even if complications occur or my condition suddenly worsens, I know how to respond.
1 – Completely disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Completely agree
3. If I put in enough effort and patience, I can cope with any illness.
1 – Completely disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Completely agree
4. I am confident that I can follow even a complex prescribed treatment plan.
1 – Strongly disagree
2 – Disagree
3 – Rather disagree
4 – Neither agree nor disagree
5 – Rather agree
6 – Agree
7 – Strongly agree
5. I have the confidence to change my entire lifestyle in order to recover.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
6. I am prepared to overcome any health problems because I rely on my own abilities.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
7. I am confident that it is possible to live with dignity with any illness.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
8. If I were diagnosed with a serious illness, I would not give up and would look for ways to cope with the situation.
1 – Completely disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Completely agree
1. I am confident that I will find a way to recover from any illness.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
2. Even if complications arise or my condition suddenly worsens, I know how to respond.
1 – Completely disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Completely agree
3. If I put in enough effort and patience, I can cope with any illness.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
4. I am confident that I can follow even a complex prescribed treatment regimen.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
5. I have the confidence to completely change my lifestyle in order to recover.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
6. I am ready to overcome any health problems because I rely on my own abilities.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
7. I am confident that it is possible to live with dignity with any illness.
1 – Strongly disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Strongly agree
8. If I were diagnosed with a serious illness, I would not give up and would look for ways to cope with the situation.
1 – Completely disagree
2 – Disagree
3 – Somewhat disagree
4 – Neither agree nor disagree
5 – Somewhat agree
6 – Agree
7 – Completely agree