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Item # | Item | Never | Sometimes | Often | Always |
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Noise disturbance items | | | | |
PRSS 1 | I had difficulty sleeping or doing other important things due to noise disturbances inside my home (e.g., crying infants and loud family members). | 1 | 2 | 3 | 4 |
PRSS 2 | I had difficulty sleeping or doing other important things due to noise disturbances outside my home (e.g., loud neighbors, construction, neighborhood violence, public transportation, and car alarms). | 1 | 2 | 3 | 4 |
PRSS 3 | I was reluctant to go home or return home because the noise in my house was uncomfortably loud. | 1 | 2 | 3 | 4 |
PRSS 4 | I felt the need to get up and leave when it became noisy in my house. | 1 | 2 | 3 | 4 |
PRSS 5 | I have felt stressed, irritable, or fatigued by the noise in my home. | 1 | 2 | 3 | 4 |
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Home dysfunction items | | | | |
PRSS 6 | Maintenance workers have condemned or threatened to condemn my home due to structural problems, poor maintenance, or other physical hazards associated with the building itself. | 1 | 2 | 3 | 4 |
PRSS 7 | My family and I have been threatened with eviction. | 1 | 2 | 3 | 4 |
PRSS 8 | I avoid people living in my home as much as possible. | 1 | 2 | 3 | 4 |
PRSS 9 | I have not felt as close to a family member or family friend because they are in jail. | 1 | 2 | 3 | 4 |
PRSS 10 | I had to take advantage of available garbage bins, charities, soup kitchens, or free events in order to eat. | 1 | 2 | 3 | 4 |
PRSS 11 | I have been forced to stay in a homeless shelter, church, other public place, or another person’s home. | 1 | 2 | 3 | 4 |
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Financial distress items | | | | |
PRSS 12 | I had to let go of some hopes and dreams to meet my most basic needs (shelter, food, clothing, etc.) | 1 | 2 | 3 | 4 |
PRSS 13 | I have worried about how difficult it would be to move if I had to move suddenly. | 1 | 2 | 3 | 4 |
PRSS 14 | Financial stress has negatively impacted my family’s relationship. | 1 | 2 | 3 | 4 |
PRSS 15 | I had to sacrifice or make tough decisions because of a lack of money. | 1 | 2 | 3 | 4 |
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