Self-management Assessment Scale

This questionnaire consists of 10 questions. For each part question, select the number to which degree you agree with the statement.

Section A	Totally disagree Totally agree
1. I have sufficient knowledge about my illness	1 2 3 4 5 6
2. I have found daily routines to manage my disease condition	1 2 3 4 5 6
3. I find joy in everyday life despite my illness	1 2 3 4 5 6
4. I have received sufficient information about my medical condition	1 2 3 4 5 6
5. I have thoughts and ideas about how to manage my illness in the future	1 2 3 4 5 6
6. I can cope emotionally living with my illness	1 2 3 4 5 6
7. I know how to deal with the disease in everyday life	1 2 3 4 5 6
8. I have those who support me in my self-management	1 2 3 4 5 6
9. I am confident that I can influence my future health	1 2 3 4 5 6
10. I have habits that are appropriate for living with my illness	1 2 3 4 5 6
11. My family and friends help me to manage my illness	1 2 3 4 5 6
12. I feel satisfied with my situation	1 2 3 4 5 6
13. I understand how my disease can progress	1 2 3 4 5 6
14. I have concrete plans on how to manage my illness	1 2 3 4 5 6
15. I have good social support, which helps me to cope with my illness	1 2 3 4 5 6

Section B	Not important Important
1. How important is it for you to have support to manage your illness?	1 2 3 4 5 6
2. How important is it for you to be emotionally balanced in order to cope with your illness?	1 2 3 4 5 6
3. How important is it for you to have a good knowledge of your disease?	1 2 3 4 5 6
4. How important is it for you to have daily routines to manage your illness?	1 2 3 4 5 6
5. How important is it for you to have goals for your future health?	1 2 3 4 5 6