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Table A1 Socio-demographic questionnaire

From: An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension

Sex □ Male □ Female
Age ____ years
Education □ No schooling completed
□ Some primary schooling
□ Completed primary school
□ Some secondary schooling
□ Completed secondary school
□ Diploma, advanced diploma, associate degree or equivalent
□ Bachelor’s degree
□ Master’s degree
□ Doctoral degree
□ Other (please specify): _____________
Living status □ Live alone □ Live with family
□ Other (please specify): _____________
Perceived health status 1 – Very strongly disagree
2 – Strongly disagree
3 – Disagree
4 – Neutral
5 – Agree
6 – Strongly agree
7 – Very strongly agree
You feel very healthy and great about yourself. 1 2 3 4 5 6 7
Your health is excellent. 1 2 3 4 5 6 7
Types and duration of diagnosed chronic illnesses □ Diabetes Duration since diagnosis:
____ years ____ months
□ Hypertension Duration since diagnosis:
____ years ____ months