In this section, we would like to learn a bit about your health and well-being.
Your Health
33. Would you say that in general your health is: Excellent Very good Good
Fair
Poor
O
O
O
O
O
34. Thinking of the people to whom you are related by birth, marriage, adoption, etc.…
3 or 4
5 to 8
0
1
2
9+
a. How many relatives do you see or hear from at least once a month? b. How many relatives do you feel at ease with that you can talk about private matters? c. How many relatives do you feel close to such that you could call on them for help?
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
35. Thinking of your friends, including those who live in your neighborhood…
3 or 4
5 to 8
0
1
2
9+
a. How many of your friends do you see or hear from at least once a month? b. How many of your friends do you feel at ease with that you can talk about private matters? c. How many of your friends do you feel close to such that you could call on them for help?
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
36. Please say for each of the statements, the extent to which they apply to your situation, the way you feel now. Please check the answer the best describes how you feel. Yes Sometimes No
O
O
O
a. I experience a general sense of emptiness.
Region II: PCOA
Area Plan 2024-2027
Page 77 of 113
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