Instructions: This scale is made up of a list of statements
each of which may or may not
be true about you. For each statement circle "definitely
true" if you are sure it is true about
you and "probably true" if you think it is true but
are not absolutely certain. Similarly, you
should circle "definitely false" if you are sure the
statement is false and "probably false"
if you think it is false but are not absolutely certain.
1. If I wanted to go
on a trip for a day (for example, to the country or mountains),
I
would have
a hard time finding someone to go with me.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
2. I feel that there
is no one I can share my most private worries and fears with.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
3. If I were sick,
I could easily find someone to help me with my daily chores.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
4. There is someone
I can turn to for advice about handling problems with my family.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
5. If I decide one
afternoon that I would like to go to a movie that evening, I could
easily find someone to go with me.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
6. When I need suggestions
on how to deal with a personal problem, I know someone I can turn
to.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
7. I don't often
get invited to do things with others.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
8. If I had to go
out of town for a few weeks, it would be difficult to find someone
who would look after my house or apartment (the plants, pets,
garden, etc.).
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
9. If I wanted to
have lunch with someone, I could easily find someone to join me.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
10. If I was stranded
10 miles from home, there is someone I could call who could come
and get me.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
11. If a family crisis
arose, it would be difficult to find someone who could give me
good advice about how to handle it.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |
12. If I needed some
help in moving to a new house or apartment, I would have a hard
time finding someone to help me.
| 1. definitely false | 2. probably false | 3. probably true | 4. definitely true |