Social Support Questionnaire


Every human is a social being. Though privacy is also important, it is fundamental to be able to share aspects of your life with other people. A social support questionnaire can be used to determine the amount of support family friends or even a spouse should accord to an individual. To establish the degree of social support in our society a social support questionnaire can be designed to help in analyzing the amount of social support needed. This sample social support questionnaire will help in collecting data on the important aspects of social support.

Sample Social Support Questionnaire


Please fill the information below honestly and accurately

Name (optional)_____________________________________

Age _______________________________________________

Sex__________________________________________________

Do you prefer to deal with problems individually or to confide in other people?

_______________________________________________________________________________________________________________________________________________

Give reasons for your answer to the above question

________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Please use the following key in answering these questions.

1. STRONGLY AGREE

2. AGREE

3.SLIGHTLY AGREE

4.DISAGREE

5.STRONGLY DISAGRE

You have people that you can talk to and share your problems with

________________________________________________________________________

There is an individual you can turn to when your are in trouble and the individual is very helpful to you in many situations.

________________________________________________________________________

There is a person with whom you have very strong ties to.

________________________________________________________________________

This person is discrete and very trustworthy.

________________________________________________________________________

You will always have the support of your family friends or spouse.

________________________________________________________________________

Your friends are always there for you

________________________________________________________________________

You can talk about your problems with your family or spouse.

________________________________________________________________________

Your family, spouse or friends will help you make difficult decisions.

________________________________________________________________________

Category: Social Questionnaire

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