Interpersonal Support Evaluation List (ISEL-12)

Confidential

Interpersonal Support Evaluation List (ISEL-12) Score

Page 1

Please complete the survey below.
Thank you!

Instructions: This scale is made up of a list of statements each of which may or may not be true about you. For each
statement choose"definitely true" if you are sure it is true about you and "probably true" if you think it is true but are
not absolutely certain. Similarly, you should choose "definitely false" if you are sure the statement is false and
"probably false" if you think it is false but are not absolutely certain.

Reverse coding has already been applied for scoring purposes.
1. If I wanted to go on a trip for a day (for example, to the country or mountains), I would have a hard time finding
someone to go with me.
definitely false

probably false

probably true

definitely true

2. I feel that there is no one I can share my most private worries and fears with.
definitely false

probably false

probably true

definitely true

3. If I were sick, I could easily find someone to help me with my daily chores.
definitely false

probably false

probably true

definitely true

4. There is someone I can turn to for advice about handling problems with my family.
definitely false

probably false

probably true

definitely true

5. If I decide one afternoon that I would like to go to a movie that evening, I could easily find someone to go with me.
definitely false

probably false

probably true

definitely true

6. When I need suggestions on how to deal with a personal problem, I know someone I can turn to.
definitely false

probably false

probably true

definitely true

7. I don't often get invited to do things with others.
definitely false

probably false

probably true

definitely true

8. If I had to go out of town for a few weeks, it would be difficult to find someone who would look after my house or
apartment (the plants, pets, garden, etc.).
definitely false

probably false

probably true

definitely true

9. If I wanted to have lunch with someone, I could easily find someone to join me.
definitely false

probably false

probably true

definitely true

10. If I was stranded 10 miles from home, there is someone I could call who could come and get me.
definitely false

06/30/2021 3:50pm

probably false

probably true

definitely true

projectredcap.org

Confidential
Page 2

11. If a family crisis arose, it would be difficult to find someone who could give me good advice about how to handle
it.
definitely false

probably false

probably true

definitely true

12. If I needed some help in moving to a new house or apartment, I would have a hard time finding someone to help
me.
definitely false
Appraisal Score

Belonging Score

Tangible Score

Total Score

probably false

probably true

definitely true

__________________________________

__________________________________

__________________________________

__________________________________

Cohen S, Mermelstein R, Kamarck T, Hoberman HM. Measuring the functional components of social support. In:

Sarason IG, Sarason BR, editors. Social support: theory, research, and applications. Martinus Nijhoff; The Hague, Holland: 198

06/30/2021 3:50pm

projectredcap.org