Perceived Social Support

If you consent to the information in this survey and the information you are sharing. The information is anonymous and will only be used for research purposes and I will not use your name. Please check this box and move forward if you consent. If you'd like to see the whole consent form please email me at [email protected]
Yes
No
There is a special person who is around when I am in need.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
There is a special person with whom I can share my joys and sorrows.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
My family really tries to help me.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
I get the emotional help and support I need from my family.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
I have a special person who is a real source of comfort to me.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
My friends really try to help me.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
I can count on my friends when things go wrong.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
I have friends with whom I can share my joys and sorrows.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
I have friends with whom I can share my joys.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
There is a special person in my life who cares about my feelings.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
My family is willing to help me make decisions.
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
I can talk about my problems
Very Strongly Disagree
Strongly Disagree
Mildly Disagree
Neutral
Mildly Agree
Strongly Agree
Very Strongly Agree
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