Satisfaction with Life as a Whole

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* 1. Date

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* 2. Intake/Discharge

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* 3. First Name

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* 4. Last Name

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* 5. Instructions: The following questions ask how satisfied you feel, on a scale from zero to 10. Zero means you feel no satisfaction at all, 5 means you feel neither satisfied nor unsatisfied and 10 means you feel completely satisfied.

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"Thinking about your own life and personal circumstances, how satisfied are you with your life as a whole?"
"How satisfied are you with your standard of living?"
"How satisfied are you with your health?"
"How satisfied are you with what you are achieving in life?"
"How satisfied are you with your personal relationships?"
"How satisfied are you with how safe you feel?"
"How satisfied are you with feeling part of your community?"
"How satisfied are you with your future security?"
"How satisfied are you with your spirituality or religion?"

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