Not Confident

Somewhat

Confident

Extremely Confident

1. Keep yourself stable and free of symptoms?

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2

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5

2. Follow the treatment plan you have been given?

1

2

3

4

5

3. Persist in following the treatment plan even when difficult?

1

2

3

4

5

4. Monitor your condition routinely?

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2

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4

5

5. Persist in routinely monitoring your condition even when difficult?

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2

3

4

5

6. Recognize changes in your health if they occur?

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5

7. Evaluate the importance of your symptoms?

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5

8. Do something to relieve your symptoms?

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5

9. Persist in finding a remedy for your symptoms even when difficult?

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2

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4

5

10. Evaluate how well a remedy works?

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5