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