13. فقرات المقياس (Scale Items)
1. About how many families in your neighborhood are you well enough acquainted with, that you visit each other in your homes? ______ families
2. About how many close friends do you have—people you feel at ease with and can talk with about what is on your mind? (You may include relatives.) (Enter number on line) ______ close friends
3. Over a year’s time, about how often do you get together with friends or relatives, like going out together or visiting in each other’s homes? (Circle one)
4. During the past month, about how often have you had friends over to your home? (Do not count relatives.) (Circle one)
5. About how often have you visited with friends at their homes during the past month? (Do not count relatives.) (Circle one)
6. About how often were you on the telephone with close friends or relatives during the past month? (Circle one)
7. About how often did you write a letter to a friend or relative during the past month? (Circle one)
8. In general, how well are you getting along with other people these days—would you say better than usual, about the same, or not as well as usual? (Circle one)
9. How often have you attended a religious service during the past month? (Circle one)
10. About how many voluntary groups or organizations do you belong to—like church groups, clubs or lodges, parent groups, etc. (“Voluntary” means because you want to.) ______ groups or organizations (Write in number. If none, enter “0.”)
11. How active are you in the affairs of these groups or clubs you belong to? (If you belong to a great many, just count those you feel closest to. If you don’t belong to any, circle 4.) (Circle one)