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Value Living Questionnaire

VALUE LIVING QUESTIONNAIRE

Below are areas of life that are by some people. We are concerned wit your quality of life in each of these areas. One aspect of quality of life involves the importance one puts on different areas of living. Rate the importance of each area (by checking the checkbox) on a scale of 1-10. 1 means that area is not at all important. 10 means that area is very important. Nove everyone will value all of these areas, or value all areas the same. Rate each area according to your own personal sense of importance.

1. Family (Other than marriage or parenting) *

1
2
3
4
5
6
7
8
9
10

2. Marriage/couples/intimate relations *

1
2
3
4
5
6
7
8
9
10

3. Parenting *

1
2
3
4
5
6
7
8
9
10

4. Friends/ Social Life *

1
2
3
4
5
6
7
8
9
10

5. Work *

1
2
3
4
5
6
7
8
9
10

6. Education/training *

1
2
3
4
5
6
7
8
9
10

7. Recreation/fun *

1
2
3
4
5
6
7
8
9
10

8. Spirituality *

1
2
3
4
5
6
7
8
9
10

9. Citizenship/ Community Life *

1
2
3
4
5
6
7
8
9
10

10. Physical self care (diet, exercise, sleep) *

1
2
3
4
5
6
7
8
9
10

Your email address *

91531

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