APPENDIX E
THE SHORT FORM-36 HEALTH SURVEY-SPIRITUAL INVOLVEMENT AND
 BELIEFS SCALE


 The Short-Form-36 Health Survey



 Instructions: This survey asks for your views about your health.

 Answer every question by circling your response. If you are unsure about how to
 answer a question, please give the best answer you can.




 Question I Very
 Excellent Good Good Fair Poor

 In general would you say you health is: 1 2 3 4 5




 Question 2 Much Somewhat About the Somewhat Much
 Beter Now' Better Now Same Now WorseNow Worse Now

 Compared to one year ago, how would 1 2 3 4 5
 you rate your health in general now?