BPS Health Index:
Please indicate your answer with the first
letter for each of the following:
Always/
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?