Totally agree | Agree | Neutral | Disagree | Totally disagree | |
---|---|---|---|---|---|
1. I weigh myself every day | 1 | 2 | 3 | 4 | 5 |
2. If SOB (shortness of breath) increases I contact my doctor or nurse | 1 | 2 | 3 | 4 | 5 |
3. If legs/feet are more swollen, I contact my doctor or nurse | 1 | 2 | 3 | 4 | 5 |
4. If I gain weight more than 2 kg in 7 days, I contact my doctor or nurse | 1 | 2 | 3 | 4 | 5 |
5. I limit the amount of fluids | 1 | 2 | 3 | 4 | 5 |
6. If I experience fatigue, I contact my doctor or nurse | 1 | 2 | 3 | 4 | 5 |
7. I eat a low-salt diet | 1 | 2 | 3 | 4 | 5 |
8. I take my medication as prescribed | 1 | 2 | 3 | 4 | 5 |
9. I exercise regularly | 1 | 2 | 3 | 4 | 5 |