Treatment Self-Regulation Questionnaire – Diabetes Version (TSRQ-Diabetes)

I take my medications for diabetes and/or check my glucose because: Other people would be mad at me if I didn't.

I take my medications for diabetes and/or check my glucose because: I find it a personal challenge to do so.

I take my medications for diabetes and/or check my glucose because: I personally believe that controlling my diabetes will improve my health.

I take my medications for diabetes and/or check my glucose because: I would feel guilty if I didn't do what my doctor said.

I take my medications for diabetes and/or check my glucose because: I want my doctor to think I'm a good patient.

I take my medications for diabetes and/or check my glucose because: I would feel bad about myself if I didn't.

I take my medications for diabetes and/or check my glucose because: It's exciting to try to keep my glucose in a healthy range.

I take my medications for diabetes and/or check my glucose because: I don't want other people to be disappointed in me.

The reason I follow my diet and exercise regularly is that: Other people would be upset with me if I didn't.

The reason I follow my diet and exercise regularly is that: I personally believe that these are important in remaining healthy.

The reason I follow my diet and exercise regularly is that: I would be ashamed of myself if I didn't.

The reason I follow my diet and exercise regularly is that: It is easier to do what I'm told than to think about it.

The reason I follow my diet and exercise regularly is that: I've carefully thought about my diet and exercising and believe it's the right thing to do.

The reason I follow my diet and exercise regularly is that: I want others to see that I can follow my diet and stay fit.

The reason I follow my diet and exercise regularly is that: I just do it because my doctor said to.

The reason I follow my diet and exercise regularly is that: I feel personally that watching my diet and exercising are the best things for me.

The reason I follow my diet and exercise regularly is that: I'd feel guilty if I didn't watch my diet and exercise.

The reason I follow my diet and exercise regularly is that: Exercising regularly and following my diet are choices I really want to make.

The reason I follow my diet and exercise regularly is that: It's a challenge to learn how to live with diabetes.