Social Support Scale REV

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Name: ____________________________________________________ Gender _______________ Age ________________________ Birthdate ___________________________________________ Instructions: We are interested in how you feel about

the following statements. Read each statement carefully. Indicate how you feel about each statement. Circle the 1 Circle the 2 Circle the 3 Circle the 4 Circle the 5 Circle the 6 Circle the 7 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. if you Very Strongly Disagree if you Strongly Disagree if you Mildly Disagree if you are Neutral if you Mildly Agree if you Strongly Agree if you Very Strongly Agree 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 7 7

There is a special person who is around when I am in need. There is a special person with whom I can share my joys and sorrows. My family really tries to help me. I get the emotional help and support I need from my family. I have a special person who is a real source of comfort to me. My friends really try to help me. I can count on my friends when things go wrong. I can talk about my problems with my family. I have friends with whom I can share my joys and sorrows. There is a special person in my life who cares about my feelings. My family is willing to help me make decisions. I can talk about my problems with my friends.

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