روانسنجی
اولین سایت تخصصی فارسی تست های روان سنجی ، روان شناسی

Medical Outcomes Study Social Support Survey
Sherbourne & Stewart‚ 1991

1.    About how many close friends and close relatives do you have (people you feel at ease with and can talk to about what is on your mind)?
2.    Someone to help you if you were confined to bed
3.    Someone you can count on to listen to you when you need to talk
4.    Someone to give you good advice about a crisis.
5.    Someone to take you to the doctor if you needed it
6.    Someone who shows you love and affection
7.    Someone to have a good time with
8.    Someone to give you information to help you understand a situation.
9.    Someone to confide in or talk to about yourself or your problems.
10.    Someone who hugs you
11.    Someone to get together with for relaxation
12.    Someone to prepare your meals if you were unable to do it yourself . .
13.    Someone whose advice you really want
14.    Someone to do things with to help you get your mind off things
15.    Someone to help with daily chores if you were sick
16.    Someone to share your most private worries and fears with
17.    Someone to turn to for suggestions about how to deal with a personal problem . .
18.    Someone to do something enjoyable with
19.    Someone who understands your problems
20.    Someone to love and make you feel wanted

1= None of the time‚ A Little of the time‚ Some of the time‚ Most of the time‚ 5= All of the time
subscales: tangible support (items 2‚ 5‚ 12‚ 15)‚ affectionate (items 6‚ 10‚ 20)‚ positive social interaction (items 7‚ 11‚ 14‚ 18)‚ and emotional or informational support (items 3‚ 4‚ 8‚ 9‚ 13‚ 16‚ 17‚ and 19).

This instrument can be found at: www.a4ebm.org/sites/default/files/Measuring%20Health.pdf  

Sherbourne‚ C.D.‚ Stewart‚ A.L. (1991).The MOS Social Support Survey. Soc Sci Med ;32:713–714.
McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. Oxford University press.