Spiritual Assessment Scale
Instructions: Please check the response category that best identifies your personal belief
about the item (response categories: SA—Strongly Agree; A—Agree; U—Uncertain;
‘D—Disagree; SD—Strongly Disagree).
A. Personal Faith
1
‘There is a Supreme Being, or God, who created humankind and
who cares forall creatures.
SA__A__U__ psp
‘Tam at peace with God.
SALA Usp
1 feel confident that God is watching over me.
SAL AULD sD
receive strength and comfort from my spiritual beliefs.
SA uU__p__sp___
5. believe that God is interested in all the activities of my life
SA___A__U___D___sp
6. Itrust that God will take care ofthe future.
SA__A__U___D___sp
‘My spiritual beliefs support a positive image of myself and of others,
as members of God's family.
SA__A___u___p__sp_
B_ Religious Practice
Belonging to a church or faith group is an important part of my life.
SA___A___U__D__sp___
9. Tam strengthened by participation in religious worship services.
SA__A__U__pD__sp__
10.
i
12.
1B.
4.
15.
16.
17.
18.
19.
a.
I find satisfaction in religiously motivated activities other than
attending worship services, for example, volunteer work or being
kind to others.
SAA UL DD
Tam supported by relationships with friends or family members
who share my religious beliefs.
SA Aus
receive comfort and support from a spiritual companion, for
example, a pastoral caregiver or friend.
SALA UD sD
‘My relationship with God is strengthened by personal prayer.
SALA UL DD
lam helped to communicate with God by reading or thinking cbout
sD.
experience pain associated with my spiritual beliefs.
SA___A___U__p__sp
I feel “far away” from God.
SA___A__U__i___s>
Tam afraid that God might not take care of my needs.
SA___A__U___D__sp
Thave done some things for which I fear God may not forgive me.
SA___A__U__D___sp
I get angry at God for allowing “bad things” to happen to me, or
to people I care about.
SA___A__u__p__sp
| feel that I have lost Gods love.
SA___A__U__D___sp
believe that there is no hope of obtaining God’ love.
SA___A__U___D__ssp