I feel close to my partner or the person who is my main support 1 2 3 4 Q1

I feel close to my partner or the person who is my

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I feel close to my partner (or the person who is my main support) .......................................................................................... 0 1 2 3 4 Q1 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section. GS7 I am satisfied with my sex life ....................................................... 0 1 2 3 4
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FACT-Ga (Version 4) Please circle or mark one number per line to indicate your response as it applies to the past 7 days . EMOTIONAL WELL-BEING Not at all A little bit Some- what Quite a bit Very much GE1 I feel sad ......................................................................................... 0 1 2 3 4 GE2 I am satisfied with how I am coping with my illness ..................... 0 1 2 3 4 GE3 I am losing hope in the fight against my illness ............................. 0 1 2 3 4 GE4 I feel nervous .................................................................................. 0 1 2 3 4 GE5 I worry about dying ........................................................................ 0 1 2 3 4 GE6 I worry that my condition will get worse ....................................... 0 1 2 3 4 FUNCTIONAL WELL-BEING Not at all A little bit Some- what Quite a bit Very much GF1 I am able to work (include work at home) ..................................... 0 1 2 3 4 GF2 My work (include work at home) is fulfilling ................................ 0 1 2 3 4 GF3 I am able to enjoy life .................................................................... 0 1 2 3 4 GF4 I have accepted my illness ............................................................. 0 1 2 3 4 GF5 I am sleeping well .......................................................................... 0 1 2 3 4
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  • Fall '16
  • Jeff Miller

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