Not at all

A little

Moderately

Mostly

Completely

10

Do you have enough energy for everyday life?

1

2

3

4

5

11

Are you able to accept your bodily appearance?

1

2

3

4

5

12

Have you enough money to meet your needs?

1

2

3

4

5

13

How available to you is the information that you need in our day-to-day life?

1

2

3

4

5

14

To what extent do you have the opportunity for leisure?

1

2

3

4

5