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Social Support Survey

This survey is used to find out what kind of a support people request from their social interactions and relationships.
Question 1
Name
Question 2*
Age Group
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Question 3*
Gender
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Question 4*
How often is each of the following kinds of support available to you if you need it?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
Someone to help you if you were confined to bed
Someone you can count on to listen to you when you need to talk
Someone to give you good advice about a crisis
Someone to take you to the doctor if you needed it
Someone who shows you love and affection
Someone to have a good time with
Someone to give you information to help you understand a situation
Someone to confide in or talk to about yourself or your problems
Someone who hugs you
Someone to get together with for relaxation
Someone to prepare your meals if you were unable to do it yourself
Someone whose advice you really want
Someone to do things with to help you get your mind off things
Someone to help with daily chores if you were sick
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