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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