1. In general‚ how is your health now?
5=Excellent‚ 4=Good‚ 3=Fair‚ 2=Poor‚ 1=Very Poor
2. Do your health problems interfere with your doing the things you need to?
5=Very Much‚ 4=Much‚ 3=Somewhat‚ 2=Little‚ 1=Very Little
3. Do you think that you are in better or worse health‚ or the same‚ compared to most people your age?
5=Much Better‚ 4=Better‚ 3=Same‚ 2=Worse‚ 1=Much Worse
4. During the past three months‚ how much has your health worried you?
5=Very Much‚ 4=Much‚ 3=Somewhat‚ 2=Little‚ 1=Very Little
This instrument can be found on page 122 of RELIGIOUS AFFILIATION AND GENDER: DIFFERENCES IN THE ASSOCIATION BETWEEN RELIGIOUSNESS AND PSYCHOLOGICAL DISTRESS. Available online at: http://academiccommons.columbia.edu/item/ac:174326
Hooker‚ K.‚ Monahan‚ D.‚ Shifren‚ K.‚ Hutchinson‚ C. (1992). Mental and physical health of spouse caregivers: the role of personality. Psychology and Aging‚ 7(3)‚ 367-375.
McGowan. Joseph C. (2012). RELIGIOUS AFFILIATION AND GENDER: DIFFERENCES IN THE ASSOCIATION BETWEEN RELIGIOUSNESS AND PSYCHOLOGICAL DISTRESS. Columbia University. http://academiccommons.columbia.edu/item/ac:174326