Please respond to each question or statement by marking one box per row.
| Never | Rarely | Sometimes | Often | Always | ||
| EmotionalImpactQ5 | In the past 7 days, how often did you feel completely alone because of your health problems?……………………………. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ6 | In the past 7 days, how often did you think your life would be better if you were healthy? ………………………………….. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ7 | In the past 7 days, how often were you very worried that you would die soon? ……………………………………………. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ8 | In the past 7 days, how often were you depressed about your health problems? ………………………………………. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ11 | In the past 7 days, how often did you feel completely hopeless because of your health? ……………………………………. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ14 | In the past 7 days, how often were you sad about your health problems? …. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ15 | In the past 7 days, how often did you feel that sickle cell disease could take your life at any moment? ………………….. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ17 | In the past 7 days, how often were you very worried about needing to go to the hospital?………………………………… | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ18 | In the past 7 days, how often did you think your health problems were ruining your life? …………………………….. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ20 | In the past 7 days, how often did you wish very much for your suffering to end?……………………………………………….. | 5 | 4 | 3 | 2 | 1 |
| Not at all | A little | Somewhat | Quite | Very | ||
| EmotionalImpactQ1 | In the past 7 days, how hopeful did you feel about your health? ………………. | 1 | 2 | 3 | 4 | 5 |
| EmotionalImpactQ2 | In the past 7 days, how worried did you feel about your health? ………………. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ3 | In the past 7 days, how different did you feel from others because of your health problems?……………………………… | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ4 | In the past 7 days, how good did you feel about your health? …………………….. | 1 | 2 | 3 | 4 | 5 |
| EmotionalImpactQ10 | In the past 7 days, how sad did you feel because of your health? ……………… | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ12 | In the past 7 days, how lonely did you feel because of your health problems? .. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ16 | In the past 7 days, how depressed were you about your health problems?.. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ19 | In the past 7 days, how sad were you about your health problems ………………. | 5 | 4 | 3 | 2 | 1 |
| Not at all | A little bit | Somewhat | Quite a bit | Very much | ||
| EmotionalImpactQ9 | In the past 7 days, how much did you worry about getting sick? …………………. | 5 | 4 | 3 | 2 | 1 |
| EmotionalImpactQ13 | In the past 7 days, how much did your health bother you? …………………………… | 5 | 4 | 3 | 2 | 1 |
Cite this article
Mohammed looti (2026). Emotional Impact (ASCQ). PSYCHOLOGICAL SCALES. Retrieved from https://scales.arabpsychology.com/s/emotional-impact-ascq/
Mohammed looti. "Emotional Impact (ASCQ)." PSYCHOLOGICAL SCALES, 2 Apr. 2026, https://scales.arabpsychology.com/s/emotional-impact-ascq/.
Mohammed looti. "Emotional Impact (ASCQ)." PSYCHOLOGICAL SCALES, 2026. https://scales.arabpsychology.com/s/emotional-impact-ascq/.
Mohammed looti (2026) 'Emotional Impact (ASCQ)', PSYCHOLOGICAL SCALES. Available at: https://scales.arabpsychology.com/s/emotional-impact-ascq/.
[1] Mohammed looti, "Emotional Impact (ASCQ)," PSYCHOLOGICAL SCALES, vol. X, no. Y, ص Z-Z, April, 2026.
Mohammed looti. Emotional Impact (ASCQ). PSYCHOLOGICAL SCALES. 2026;vol(issue):pages.