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  • GCS Angket

    Uploaded by

    Sarini Suryadi
    161 views3 pages
    The document is a general comfort questionnaire asking respondents to rate statements about their current level of comfort on a scale of 1 to 4. It contains 48 questions about various factors that could impact comfort, such as physical relaxation, privacy, social support, health, surroundings, mood, beliefs and independence. Respondents are asked to consider their comfort at the moment of answering and circle the number that best matches their feeling for each question.

    Original Description:

    Kuisioner tingkat kenyamanan Kolcaba

    Original Title

    GCS Angket-converted

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    The document is a general comfort questionnaire asking respondents to rate statements about their current level of comfort on a scale of 1 to 4. It contains 48 questions about various factors that could impact comfort, such as physical relaxation, privacy, social support, health, surroundings, mood, beliefs and independence. Respondents are asked to consider their comfort at the moment of answering and circle the number that best matches their feeling for each question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    161 views3 pages

    GCS Angket

    Uploaded by

    Sarini Suryadi
    The document is a general comfort questionnaire asking respondents to rate statements about their current level of comfort on a scale of 1 to 4. It contains 48 questions about various factors that could impact comfort, such as physical relaxation, privacy, social support, health, surroundings, mood, beliefs and independence. Respondents are asked to consider their comfort at the moment of answering and circle the number that best matches their feeling for each question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    GENERAL COMFORT QUESTIONNAIRE

    Thank you VERY MUCH for helping me in my study of the concept COMFORT. Below
    are statements that may describe your comfort right now. Four numbers are provided for
    each question; please circle the number you think most closely matches your feeling.
    Relate these questions to your comfort at the moment you are answering the questions.

    1. My body is relaxed right now 4 3 2 1

    2. I feel useful because I’m working hard 4 3 2 1

    3. I have enough privacy 4 3 2 1

    4. There are those I can depend on when I need help 4 3 2 1

    5. I don’t want to exercise 4 3 2 1

    6. My condition gets me down 4 3 2 1

    7. I feel confident 4 3 2 1

    8. I feel dependent on others 4 3 2 1

    9. I feel my life is worthwhile right now 4 3 2 1

    10. I am inspired by knowing that I am loved 4 3 2 1

    11. These surroundings are pleasant 4 3 2 1

    12. The sounds keep me from resting 4 3 2 1

    13. No one understands me 4 3 2 1

    14. My pain is difficult to endure 4 3 2 1

    15. I am inspired to do my best 4 3 2 1

    16. I am unhappy when I am alone 4 3 2 1

    17. My faith helps me to not be afraid 4 3 2 1

    18. I do not like it here 4 3 2 1

    19. I am constipated right now 4 3 2 1

    20. I do not feel healthy right now 4 3 2 1

    21. This room makes me feel scared 4 3 2 1

    22. I am afraid of what is next 4 3 2 1


    Strongly Strongly
    Agree Disagree

    23. I have a favorite person(s) who makes me feel cared for 4 3 2 1

    24. I have experienced changes which make me feel uneasy 4 3 2 1

    25. I am hungry 4 3 2 1

    26. I would like to see my doctor more often 4 3 2 1

    27. The temperature in this room is fine 4 3 2 1

    28. I am very tired 4 3 2 1

    29. I can rise above my pain 4 3 2 1

    30. The mood around here uplifts me 4 3 2 1

    31. I am content 4 3 2 1

    32. This chair (bed) makes me hurt 4 3 2 1

    33. This view inspires me 4 3 2 1

    34. My personal belongings are not here 4 3 2 1

    35. I feel out of place here 4 3 2 1

    36. I feel good enough to walk 4 3 2 1

    37. My friends remember me with their cards and phone calls 4 3 2 1

    38. My beliefs give me peace of mind 4 3 2 1

    39. I need to be better informed about my health 4 3 2 1

    40. I feel out of control 4 3 2 1

    41. I feel crummy because I am not dressed 4 3 2 1

    42. This room smells terrible 4 3 2 1

    43. I am alone but not lonely 4 3 2 1

    44. I feel peaceful 4 3 2 1


    45. I am depressed 4 3 2 1

    46. I have found meaning in my life 4 3 2 1

    47. It is easy to get around here 4 3 2 1

    48. I need to feel good again 4 3 2 1

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