Using a scale of 1 (lowest) to 5 (highest), please answer following questions:
| Question | 1 | 2 | 3 | 4 | 5 |
| I shop for and buy my own food. |
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| I prepare my own food. |
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| I am a morning person. |
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| I manage challenges well. |
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| I follow instructions. |
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| I am comfortable being accountable to a mentor. |
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| I fall asleep quickly and naturally at night. |
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| I often eat home prepared meals. |
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| I am a patient person. |
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| Score | 0% | ||||