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Loneliness Survey

Instructions: The following statements describe how people sometimes feel. For each statement, please indicate how often you feel the way described by placing a check in the space provided. Here is an example: How often do you feel happy?  If you never felt happy, you would check “never”;  If you often feel happy, you would check “Often.”

Check one option for each statement:

  • Often — “I often feel this way”
  • Sometimes — “I sometimes feel this way”
  • Rarely — “I rarely feel this way”
  • Never — “I never feel this way”