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    B IPQ English PDF

    Uploaded by

    Centanarian

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    B IPQ English PDF

    Uploaded by

    Centanarian
    497 views1 page

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    B-IPQ-English.pdf

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    Copyright:

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    497 views1 page

    B IPQ English PDF

    Uploaded by

    Centanarian

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    The Brief Illness Perception Questionnaire

    For the following questions, please circle the number that best corresponds to your views:
    How much does your illness affect your life?
    0 1 2 3 4 5 6 7 8 9 10
    no affect severely
    at all affects my life
    How long do you think your illness will continue?
    0 1 2 3 4 5 6 7 8 9 10
    a very forever
    short time
    How much control do you feel you have over your illness?
    0 1 2 3 4 5 6 7 8 9 10
    absolutely extreme amount
    no control of control
    How much do you think your treatment can help your illness?
    0 1 2 3 4 5 6 7 8 9 10
    not at all extremely
    helpful
    How much do you experience symptoms from your illness?
    0 1 2 3 4 5 6 7 8 9 10
    no symptoms many severe
    at all symptoms
    How concerned are you about your illness?
    0 1 2 3 4 5 6 7 8 9 10
    not at all extremely
    concerned concerned
    How well do you feel you understand your illness?
    0 1 2 3 4 5 6 7 8 9 10
    don't understand understand
    at all very clearly
    How much does your illness affect you emotionally? (e.g. does it make you angry, scared,
    upset or depressed?
    0 1 2 3 4 5 6 7 8 9 10
    not at all extremely
    affected affected
    emotionally emotionally
    Please list in rank-order the three most important factors that you believe caused your
    illness. The most important causes for me:-

    1. __________________________________
    2. __________________________________
    3. __________________________________

    © All rights reserved. For permission to use the scale please contact: lizbroadbent@clear.net.nz

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