• Social Support and Self-Esteem Questionnaire

    Thank you for taking part in this questionnaire. Your responses are completely anonymous; that means no identifying information will be collected or tracked at any point. Please proceed to answer the sections on demographics, social support, and self-esteem. Your honest input is valuable and will contribute meaningfully to this study.

  • Informed Consent

  • Please read this short consent statement carefully. This study is voluntary, your responses will be kept confidential, and you may withdraw at any time without penalty.
  • Do you agree to participate in this study?*
  • Are you between 18 and 65 years old?*

  • SECTION A: DEMOGRAPHIC INFORMATION

    Please answer all questions by selecting the appropriate option or filling in the blank.
  • Gender*
  • Highest level of education completed*
  • Current employment status*
  • Current living arrangement*
  • Primary psychiatric diagnosis (as confirmed in your patient file)*
  • How long have you been receiving psychiatric treatment at this facility?*
  • Number of outpatient visits attended at this facility to date*

  • SECTION B: MULTIDIMENSIONAL SCALE OF PERCEIVED SOCIAL SUPPORT (MSPSS)

  • Each of the following statements relates to people and support in your life. Read each statement carefully and indicate how much you agree or disagree. There are no right or wrong answers.
  • There is a special person who is around when I am in need.*
  • There is a special person with whom I can share my joys and sorrows.*
  • My family really tries to help me.*
  • I get the emotional help and support I need from my family.*
  • I have a special person who is a real source of comfort to me.*
  • My friends really try to help me.*
  • I can count on my friends when things go wrong.*
  • I can talk about my problems with my family.*
  • I have friends with whom I can share my joys and sorrows.*
  • There is a special person in my life who cares about my feelings.*
  • My family is willing to help me make decisions.*
  • I can talk about my problems with my friends.*

  • SECTION C: ROSENBERG SELF-ESTEEM SCALE

  • On the whole, I am satisfied with myself.*
  • I feel I do not have much to be proud of.*
  • I certainly feel useless at times.*
  • I feel that I am a person of worth, at least on an equal plane with others.*
  • I wish I could have more respect for myself.*
  • All in all, I am inclined to feel that I am a failure.*
  • I take a positive attitude toward myself.*
  • At times I think I am no good at all.*
  • I feel that I have a number of good qualities.*
  • I am able to do things as well as most other people.*
  • Should be Empty:
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