14) Do you sometimes forget to take your medication?

Yes

No

15) People sometimes miss taking their medications for reasons other than forgetting.

Over the past 2 weeks, were there any days when you did not take your medication?

Yes

No

16) Have you ever cut back or stopped taking your medication without telling your doctor because you felt worse when you took it?

Yes

No

17) When you travel or leave home, do you sometimes forget to bring your medication?

Yes

No

18) Did you take all your medication yesterday?

Yes

No

19) When you feel like your symptoms are under control, do you sometimes stop taking your medication?

Yes

No

20) Taking medication every day is a real inconvenience for some people. Do you ever feel hassled about sticking to your treatment plan?

Yes

No

21) How often do you have difficulty remembering to take all your medication?

Never/Rarely

Once in a while

Sometimes

Usually

All the time