Recorded Date
What is your age in years?
Participant age group (groups clarified in values)
What is your primary addiction? (please select only 1)
What is your length of recovery? - Years
What is your length of recovery? - Months
Total time participant has been clean from addiction in months
Number of years in recovery, grouped into 5-year brackets
Have you had any other addictions?
Please indicate all relevant: Alcohol
Please indicate all relevant: Drugs
Please indicate all relevant: Gambling
Please indicate all relevant: Food
Please indicate all relevant: Sex
Please indicate all relevant: Internet / social media
Please indicate all relevant: Gaming
Number of secondary addictions
To what extent did you feel this way at the start of your addiction - Cheerful
To what extent did you feel this way at the start of your addiction - Disgusted
To what extent did you feel this way at the start of your addiction. - Attentive
To what extent did you feel this way at the start of your addiction. - Bashful
To what extent did you feel this way at the start of your addiction - Sluggish
To what extent did you feel this way at the start of your addiction. - Daring
To what extent did you feel this way at the start of your addiction. - Surprised
To what extent did you feel this way at the start of your addiction. - Strong
To what extent did you feel this way at the start of your addiction. - Scornful
To what extent did you feel this way at the start of your addiction. - Relaxed
To what extent did you feel this way at the start of your addiction. - Irritable
To what extent did you feel this way at the start of your addiction. - Delighted
To what extent did you feel this way at the start of your addiction - Inspired
To what extent did you feel this way at the start of your addiction. - Fearless
To what extent did you feel this way at the start of your addiction - Disgusted with self
To what extent did you feel this way at the start of your addiction. - Sad
To what extent did you feel this way at the start of your addiction - Calm
To what extent did you feel this way at the start of your addiction. - Afraid
To what extent did you feel this way at the start of your addiction. - Tired
To what extent did you feel this way at the start of your addiction. - Amazed
To what extent did you feel this way at the start of your addiction. - Shaky
To what extent did you feel this way at the start of your addiction - Happy
To what extent did you feel this way at the start of your addiction - Timid
To what extent did you feel this way at the start of your addiction. - Alone
To what extent did you feel this way at the start of your addiction. - Alert
To what extent did you feel this way at the start of your addiction - Upset
To what extent did you feel this way at the start of your addiction. - Angry
To what extent did you feel this way at the start of your addiction. - Bold
To what extent did you feel this way at the start of your addiction. - Blue
To what extent did you feel this way at the start of your addiction. - Shy
To what extent did you feel this way at the start of your addiction - Active
To what extent did you feel this way at the start of your addiction. - Guilty
To what extent did you feel this way at the start of your addiction. - Joyful
To what extent did you feel this way at the start of your addiction - Nervous
To what extent did you feel this way at the start of your addiction. - Lonely
To what extent did you feel this way at the start of your addiction. - Sleepy
To what extent did you feel this way at the start of your addiction - Excited
To what extent did you feel this way at the start of your addiction. - Hostile
To what extent did you feel this way at the start of your addiction. - Proud
To what extent did you feel this way at the start of your addiction. - Jittery
To what extent did you feel this way at the start of your addiction - Lively
To what extent did you feel this way at the start of your addiction. - Ashamed
To what extent did you feel this way at the start of your addiction. - At ease
To what extent did you feel this way at the start of your addiction. - Scared
To what extent did you feel this way at the start of your addiction. - Drowsy
To what extent did you feel this way at the start of your addiction. - Angry at self
To what extent did you feel this way at the start of your addiction. - Enthusiastic
To what extent did you feel this way at the start of your addiction. - Downhearted
To what extent did you feel this way at the start of your addiction. - Sheepish
To what extent did you feel this way at the start of your addiction. - Distressed
To what extent did you feel this way at the start of your addiction. - Blameworthy
To what extent did you feel this way at the start of your addiction. -Determined
To what extent did you feel this way at the start of your addiction. - Frightened
To what extent did you feel this way at the start of your addiction.. - Astonished
To what extent did you feel this way at the start of your addiction. - Interested
To what extent did you feel this way at the start of your addiction. - Loathing
To what extent did you feel this way at the start of your addiction. - Confident
To what extent did you feel this way at the start of your addiction.. - Energetic
To what extent did you feel this way at the start of your addiction. . - Concentrating
To what extent did you feel this way at the start of your addiction.. - Dissatisfied with self
Brief Cope - 1. I turned to work or other activities to take my mind off things.
Brief Cope. - 2. I concentrated my efforts on doing something about the situation I'm in.
Brief Cope. - 3. I said to myself "this isn't real."
Brief Cope - 4. I used alcohol or other drugs to make myself feel better.
Brief Cope. - 5. I got emotional support from others.
Brief Cope. - 6. I gave up trying to deal with it.
Brief Cope. - 7. I tried taking action to try to make the situation better.
Brief Cope. - 8. I refused to believe that it had happened.
Brief Cope. - 9. I said things to let my unpleasant feelings escape.
Brief Cope. - 10. I got help and advice from other people.
Brief Cope. - 11. I used alcohol or other drugs to help me get through it.
Brief Cope. - 12. I tried to see it in a different light, to make it seem more positive.
Brief Cope. - 13. I criticized myself.
Brief Cope. - 14. I tried to come up with a strategy about what to do.
Brief Cope. - 15. I got comfort and understanding from someone.
Brief Cope. - 16. I gave up the attempt to cope.
Brief Cope - 17. I looked for something good in what is happening.
Brief Cope. - 18. I made jokes about it.
Brief Cope. - 19. I did something to think about it less, such as; movies, TV, daydreaming, sleeping
Brief Cope. - 20. I accepted the reality of the fact.
Brief Cope. - 21. I expressed my negative feelings.
Brief Cope. - 22. I tried to find comfort in my religion or spiritual beliefs.
Brief Cope. - 23. I tried to get advice or help from other people about what to do.
Brief Cope. - 24. I learned to live with it.
Brief Cope. - 25. I thought hard about what steps to take.
Brief Cope. - 26. I blamed myself for things that happened.
Brief Cope. - 27. I prayed or meditated.
Brief Cope. - 28. I made fun of the situation.
To what extent do you feel this way right now. - Cheerful
To what extent do you feel this way right now. - Disgusted
To what extent do you feel this way right now - Attentive
To what extent do you feel this way right now. - Bashful
To what extent do you feel this way right now. - Sluggish
To what extent do you feel this way right now. - Daring
To what extent do you feel this way right now. - Surprised
To what extent do you feel this way right now. - Strong
To what extent do you feel this way right now - Scornful
To what extent do you feel this way right now. - Relaxed
To what extent do you feel this way right now. - Irritable
To what extent do you feel this way right now. - Delighted
To what extent do you feel this way right now. - Inspired
To what extent do you feel this way right now. - Fearless
To what extent do you feel this way right now. - Disgusted with self
To what extent do you feel this way right now. - Sad
To what extent do you feel this way right now. - Calm
To what extent do you feel this way right now. - Afraid
To what extent do you feel this way right now. - Tired
To what extent do you feel this way right now. - Amazed
To what extent do you feel this way right now. - Shaky
To what extent do you feel this way right now. - Happy
To what extent do you feel this way right now. - Timid
To what extent do you feel this way right now. - Alone
To what extent do you feel this way right now. - Alert
To what extent do you feel this way right now. - Upset
To what extent do you feel this way right now. - Angry
To what extent do you feel this way right now. - Bold
To what extent do you feel this way right now. - Blue
To what extent do you feel this way right now. - Shy
To what extent do you feel this way right now. - Active
To what extent do you feel this way right now. - Guilty
To what extent do you feel this way right now. - Joyful
To what extent do you feel this way right now. - Nervous
To what extent do you feel this way right now. - Lonely
To what extent do you feel this way right now. - Sleepy
To what extent do you feel this way right now. - Excited
To what extent do you feel this way right now. - Hostile
To what extent do you feel this way right now. - Proud
To what extent do you feel this way right now. - Jittery
To what extent do you feel this way right now. - Lively
To what extent do you feel this way right now. - Ashamed
To what extent do you feel this way right now. - At ease
To what extent do you feel this way right now. - Scared
To what extent do you feel this way right now. - Drowsy
To what extent do you feel this way right now. - Angry at self
To what extent do you feel this way right now. - Enthusiatic
To what extent do you feel this way right now. - Downhearted
To what extent do you feel this way right now. - Sheepish
To what extent do you feel this way right now. - Distressed
To what extent do you feel this way right now. - Blameworthy
To what extent do you feel this way right now. - Determined
To what extent do you feel this way right now. - Frightened
To what extent do you feel this way right now. - Astonished
To what extent do you feel this way right now. - Interested
To what extent do you feel this way right now. - Loathing
To what extent do you feel this way right now. - Confident
To what extent do you feel this way right now. - Energetic
To what extent do you feel this way right now. - Concentrating
To what extent do you feel this way right now. - Dissatisfied with self
WHOQoL Bref Q1 (G1) How would you rate your quality of life?
WHOQoL Bref Q15 - (F9.1) How well are you able to get around?
WHOQoL Bref Q3 - (F1.4) To what extent do you feel that physical pain prevents you from doing what you need to do?
WHOQoL Bref Q4 - (F11.3) How much do you need any medical treatment to function in your daily life?
WHOQoL Bref Q5 - (F4.1) How much do you enjoy life?
WHOQoL Bref Q6 - (F24.2) To what extent do you feel your life to be meaningful?
WHOQoL Bref Q7 - (F5.3) How well are you able to concentrate?
WHOQoL Bref Q8 - (F16.1) How safe do you feel in your daily life?
WHOQoL Bref Q9 - (F22.1) How healthy is your physical environment?
WHOQoL Bref Q10. - (F2.1) Do you have enough energy for everyday life?
WHOQoL Bref Q11. - (F7.1) Are you able to accept your bodily appearance?
WHOQoL Bref Q12. - (F18.1) Have you enough money to meet your needs?
WHOQoL Bref Q13 - (F20.1) How available to you is the information that you need in your day-to-day life?
WHOQoL Bref Q14. - (F21.1) To what extent do you have the opportunity for leisure activities?
WHOQoL Bref Q2 - (G4) How satisfied are you with your health?
WHOQoL Bref Q16 - (F3.3) How satisfied are you with your sleep?
WHOQoL Bref Q17 - (F10.3) How satisfied are you with your ability to perform your daily living activities?
WHOQoL Bref Q18 - (F12.4) How satisfied are you with your capacity for work?
WHOQoL Bref 98 - (F6.3) How satisfied are you with yourself?
WHOQoL Bref Q20 - (F13.3) How satisfied are you with your personal relationships?
WHOQoL Bref Q21 - (F15.3) How satisfied are you with your sex life?
WHOQoL Bref Q22 - (F14.4) How satisfied are you with the support you get from your friends?
WHOQoL Bref Q23 - (F17.3) How satisfied are you with the conditions of your living place?
WHOQoL Bref Q24 - (F19.3) How satisfied are you with your access to health services?
WHOQoL Bref Q25 - (F23.3) How satisfied are you with your transport?
WHOQoL Bref Q26. How often do you have negative feelings such as blue mood, despair, anxiety, depression?
Total Positive and negative affect scales (PANAS) - General Positive Score pre addiction
Total PANAS General Negative score pre addiction
Total PANAS fear score pre addiction
Total PANAS hostility score pre addiction
Total PANAS guilt score pre addiction
Total PANAS Sadness score pre addiction
Total PANAS Joviality score pre addiction PANAS
Total PANAS Self Assurance score pre addiction
Total PANAS Attentive score pre addiction
Total PANAS Shyness score pre addiction
Total PANAS Fatigue score pre addiction
Total PANAS Serenity score pre addiction
Total PANAS Surprise score pre addiction
Total PANAS Basic Positive score pre addiction
Total PANAS Basic Negative score pre addiction
Total PANAS General Positive score post addiction
Total PANAS General Negativescore post addiction
Total PANAS Fear score post addiction
Total PANAS Hostility score post addiction
Total PANAS Guilt score post addiction
Total PANAS Sadness score post addiction
Total PANAS Joviality score post addiction
Total PANAS Self Assurance score post addiction
Total PANAS Attentive score post addiction
Total PANAS Shyness score post addiction
Total PANAS Fatigue score post addiction
Total PANAS Serenity score post addiction
Total PANAS Surprise score post addiction
Total PANAS Basic Positive score post addiction
Total PANAS Basic Negative score post addiction
BRIEF Cope Self distraction score - questions 1 and 19
Brief Cope Active coping score - questions 2 and 7
Brief Cope denial score - questions 3 and 8
Brief Cope substance use score - questions 4 and 11
Brief Cope use of emotional support score - questions 5 and 15
Brief Cope use of instrumental support score - questions 10 and 23
Brief Cope behavioural disengagement score - questions 6 and 16
Brief Cope venting score - questions 9 and 21
Brief Cope positive reframing score - questions 12 and 17
Brief Cope planning score - questions 14 and 25
Brief Cope humour score - questions 18 and 28
Brief Cope acceptance score - questions 20 and 24
Brief Cope religion score - questions 22 and 27
Brief Cope self blame score - questions 13 and 26
QOL Overall quality of life score - WHOQOL Bref
QOL Overall physical health raw score - WHOQOL Bref
QOL - Physical domain raw score - WHOQoL Bref
QOL - Psychological domain raw score - WHOQOL Bref
QOL- Social domain raw score - WHOQoL Bref
QOL - Environmental domain raw score - WHOQOL Bref
Age when particpant came into recovery in years.
Physical QoL scaled score/100 (WHOQoL-Bref)
Psychological QoL scaled score/100 (WHOQoL-Bref)
Social QoL scaled score/100 (WHOQoL-Bref)
Environmental QoL scaled score/100 (WHOQoL-Bref)