Items | Response format |
---|---|
Do you sometimes forget to take your [health concern] pills? | Yes or No |
People sometimes miss taking their medications for reasons other than forgetting. Thinking over the past two weeks, were there any days when you did not take your [health concern] medicine? | Yes or No |
When you travel or leave home, do you sometimes forget to bring along your [health concern] medication? | Yes or No |
Did you take your [health concern] medicine yesterday? | Yes or No |
When you feel like your [health concern] is under control, do you sometimes stop taking your medicine? | Yes or No |
Taking medication everyday is a real inconvenience for some people. Do you ever feel hassled about sticking to your [health concern] treatment plan? | Yes or No |
How often do you have difficulty remembering to take all your medications? | Never/Rarely, Once in a while, Sometimes, Usually, All the time |