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Please include the feelings you have now -- taking into account what has happened in the last year and what you expect in the near future.

How do you feel about...
The physical comfort of your home--heat, water, lighting, ventilation.
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Your level of physical activity.
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Your family life--your wife/husband, your marriage, your children, if any.
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The chance you have to know people with whom you can really feel comfortable.
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The extent to which you are developing yourself and broadening your life.
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How secure you are from people who might steal or destroy your property.
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The amount of respect you get from others.
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Yourself.
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The way you handle the problems that come up in your life.
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How much you are accepted and included by others.
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The way other people treat you.
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Close adult relatives--people like parents, in-laws, brothers, and sisters.
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The chance you have to enjoy pleasant or beautiful things.
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The reliability of the people you depend on.
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Your safety.
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How creative you can be.
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The amount of friendship and love in your life.
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Your sex life.
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Your own health and physical condition.
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The amount of fun and enjoyment you have.
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The sleep you get.
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How secure you are financially.
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How dependable and responsible people around you are.
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The extent to which your world seems consistent and understandable.
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The extent to which your personal needs are met.
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The way you spend your spare time, your non-working activities.
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Your life as a whole.
Terrible Unhappy Mostly Dissatisfied Mixed Mostly Satisfied Pleased Delighted

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