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The Resilience Scale (RS)

March

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Please read the following statements. To the right of each you will find seven numbers, ranging from
"1" (Strongly Disagree) on the left to "7" (Strongly Agree) on the right. Click the circle below the
number which best indicates your feelings about that statement. For example, if you strongly
disagree with a statement, click "1". If you are neutral, click "4", and if you strongly agree, click "7",
etc.
Strongly
Disagree
1. When I make plans, I follow through with them.
2. I usually manage one way or another.
3. I am able to depend on myself more than anyone else.
4. Keeping interested in things is important to me.
5. I can be on my own if I have to.
6. I feel proud that I have accomplished things in life.
7. I usually take things in stride.
8. I am friends with myself.
9. I feel that I can handle many things at a time.
10. I am determined.
11. I seldom wonder what the point of it all is.
12. I take things one day at a time.
13. I can get through difficult times because I've experienced
difficulty before.
14. I have self-discipline.
15. I keep interested in things.

Strongly
Agree

16. I can usually find something to laugh about.


17. My belief in myself gets me through hard times.
18. In an emergency, I'm someone people can generally rely
on.
19. I can usually look at a situation in a number of ways.
20. Sometimes I make myself do things whether I want to or
not.
21. My life has meaning.
22. I do not dwell on things that I can't do anything about.
23. When I'm in a difficult situation, I can usually find my way
out of it.
24. I have enough energy to do what I have to do.
25. It's okay if there are people who don't like me.

1987 Gail M. Wagnild & Heather M. Young. Used by permission. All rights reserved. "The Resilience Scale" is an
international trademark of Gail M. Wagnild & Heather M. Young.

SF-36 baseline

37879

Subject No.

Today's date (month/day/year) . . . . . . . . . . . . . . . . . . . . . . . . .

The following questions ask for your views about your health. If you are unsure about
how to answer a question, please give the best answer you can.
1. In general, would you say your health is:
Excellent

Very good

Good

Fair

Poor

Much better
Somewhat better
About the same
Somewhat worse
Much worse

2. Compared to 1 year ago, how would you rate your


health in general now?

3. The following questions are about activities you might do during a typical day.
Does your health now limit you in these activities? If so, how much?
Yes,
limited
a lot

Yes,
limited
a little

No, not
limited
at all

a. Vigorous activities, such as running, lifting heavy


objects, participating in strenuous sports?
b. Moderate activities, such as moving a table,
pushing a vacuum cleaner, bowling or playing golf?
c. Lifting or carrying groceries?
d. Climbing several flights of stairs?
e. Climbing one flight of stairs?
f. Bending, kneeling or stooping?
g. Walking more than a mile?
h. Walking several hundred yards?
i.

Walking one hundred yards?

j. Bathing or dressing yourself?


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SF-36 baseline
37879

Subject No.

4. During the past 4 weeks, how much of the time have you had any of the following
problems with your work or other regular daily activities as a result of your physical health?
All
of the
time

Most
of the
time

Some
of the
time

A little
of the
time

None
of the
time

a. Cut down the amount of time


you spent on work or other
activities.
b. Accomplished less than you
would like.

c. Were limited in the kind of


work or other activities.

d. Had difficulty performing the


work or other activities (for
example, it took extra effort).

5. During the past 4 weeks, how much of the time have you had any of the following problems
with your work or other regular daily activities as a result of any emotional problems (such as
feeling depressed or anxious)?
All
of the
time

Most
of the
time

Some
of the
time

A little
of the
time

a. Cut down the amount of


time you spent on work or
other activities.

b. Accomplished less than you


would like.

c. Didn't do work or other


activities as carefully as usual.
6. During the past 4 weeks, to what extent has your physical health or emotional
problems interfered with your normal social activities with family, friends, neighbors or
groups?
Not at all

Slightly

Moderately

Quite a bit

Extremely
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None
of the
time

SF-36 baseline
37879

Subject No.

7. How much bodily pain have you had during the past 4 weeks?

None

Very mild

Mild

Moderate

Severe

Very severe

8. During the past 4 weeks, how much did pain interfere with your normal work (including both
work outside the home and house work)?
Not at all

Slightly

Moderately

Quite a bit

Extremely

9. These questions are about how you feel and how things have been with you during the past
4 weeks. For each question, please give the one answer that comes closest to the way you have
been feeling.
How much of the time during the past 4 weeks...
All
of the
time

Most
of the
time

Some
of the
time

A little
of the
time

None
of the
time

a. Did you feel full life?


b. Have you been very nervous?
c. Have you felt so down in the
dumps that nothing could cheer
you up?
d. Have you felt calm and
peaceful?
e. Did you have a lot of energy?

f. Have you felt downhearted


and depressed?
g. Did you feel worn out?

h. Have you been happy?


i.

Did you feel tired?

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37879

SF-36 baseline

Subject No.

10. During the past 4 weeks, how much of the time has your physical health or emotional
problems interfered with your social activities (like visiting with friends, relatives, etc.)?
All
of the
time

Most
of the
time

Some
of the
time

A little
of the
time

None
of the
time

11. Please choose the answer that best describes how true or false each of the following
statements is for you.

Definitely
true

Mostly
true

Don't
know

Mostly
false

Definitely
false

a. I seem to get sick a little


easier than other people.
b. I am as healthy as
anybody I know.
c. I expect my health to get
worse.
d. My health is excellent.

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