BPS Health Index:

Please indicate your answer with the first letter for each of the following:
A
lways/ Sometimes/ Never    (E.g.,
A   for Always )

 1. _____  Do you enjoy exercising?

 2. _____  Do you exercise regularly (2 times a week or more?)

 3. _____  Do you eat meals at regular times each day?

 4. _____  Are you concerned about eating only healthy foods?

 5. _____  Do you have trouble eating (too little or too much?)

 6. _____  Do you have problems getting to sleep?

 7. _____  Do you feel too tired to get up?

 8. _____  Do you feel tired throughout the day?

 9. _____  Do you think that you have plenty of energy to go about your daily tasks?

10. _____  Do you suffer from bad headaches?

11. _____  Do you suffer from pain in any part of the body?

12. _____  Do you socialize with people of your own race if given the opportunity?

13. _____  Do you feel shy when meeting new people?

14. _____  Do you feel excluded from social activities?

15. _____  Do you feel alone?

16. _____  Do you feel it is important to maintain your cultural identity?

17. _____  Do you feel happy with the way your life is?

18. _____  Do you ever wish that you could change your appearance?

19. _____                                                                             Personality?

20. _____                                                                             Race?

21. _____  Do people irritate you and annoy you?

22. _____  Do you get uncomfortable in unfamiliar places?

23. _____  Do you feel depressed more often than not?

24. _____  Do you find it difficult to talk to new people?

25. _____  Do you discuss this feeling with someone of your own race/ethnicity?

26. _____  If you were to choose a best friend would it be someone of your own race?

27. _____  Do you go out with friends on a regular basis to the cinema?

28. _____                                                                            to nightclubs or bars?

29. _____                                                                            to religious meetings?

30. _____                                                                            to other gatherings?

        e.g., ______________

31. _____  Do you participate in any team sports or activities on a regular basis?  

32. _____  Do you get colds/flu on a regular basis?

33. _____  Do you prefer your own company?

34. _____  Do you discuss this feeling with someone in order to help you?

35. _____  Do you feel that you are excluded on the basis of race alone?

36. _____ (If so, what is their relationship to you?)

37. _____  Do you find social activities in Canada different from those you would be
                  participating in at home?

38. _____  Do you ever wish that you were back in your home country?

 


 

Bio-psycho-social questionnaire index:

Biological Qns:                                                                          Always/ Sometimes/ Never

Do you enjoy exercising?

Do you exercise regularly (2 times a week or more?)

Do you eat meals at regular times each day?

Are you concerned about eating only health foods?

Do you have trouble eating (too little or too much?)

Do you have problems getting to sleep?

Do you feel too tired to get up?

Do you feel tired throughout the day?

Do you think that you have plenty of energy to go about your daily tasks?

Do you suffer from bad headaches?

Do you suffer from pain in any part of the body?

Do you get colds/flu on a regular basis?

Psychological Qns:

Do you feel depressed more often than not?

Do you discuss this feeling with someone in order to help you?

Do you discuss this feeling with someone of your own race/ethnicity?

(If so, what is their relationship to you?)

Do you feel happy with the way your life is?

Do you ever wish that you could change your appearance?

                                                                          Personality?

                                                                          Race?

Do people irritate you and annoy you?

Do you get uncomfortable in unfamiliar places?

Do you feel shy when meeting new people?

Do you find it difficult to talk to new people?

Do you feel alone?

If you were to choose a best friend would it be someone of your own race?

Social Qns:

Do you go out with friends on a regular basis to the cinema?

                                                                          to nightclubs or bars?

                                                                          to religious meetings?

                                                                          to other gatherings?  e.g., ______________

Do you participate in any team sports or activities on a regular basis?  

Do you socialize with people of your own race if given the opportunity?

Do you prefer your own company?

Do you feel excluded from social activities?

Do you feel that you are excluded on the basis of race alone?

Do you feel it is important to maintain your cultural identity?

Do you find social activities in Canada different from those you would be participating in at home?

Do you ever wish that you were back in your home country?