This questionnaire assesses overall loneliness. the results only provide an overall assessment. You may request a detailed evaluation below.

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* 1. There is always someone I can talk to about my day-to-day problems

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* 2. I miss having a really close friend

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* 3. I experience a general sense of emptiness

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* 4. There are plenty of people I can lean on when I have problems

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* 5. I miss the pleasure of the company of others

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* 6. I find my circle of friends and acquaintances too limited

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* 7. There are many people I can trust completely

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* 8. There are enough people I feel close to

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* 9. I miss having people around me

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* 10. I often feel rejected

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* 11. I can call on my friends whenever I need them

If you would like a detailed analysis of results please complete the remaining information, if not skip to end and select "Done".
Confidentiality: Any information you provide will not be sold or used for commercial purposes. Nor will your personal information be released without your consent, in accordance with State of Arizona and U.S. Federal law.

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* 12. Contact Information

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* 13. What is your age?

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* 14. What is your ethnicity?

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* 15. What is your gender?

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* 16. From the survey what concerns you the most?

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* 17. After responding to the survey, what do you hope to learn about yourself?

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