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The Self-Care of Heart Failure Index (SCHFI) - Union Health HF program

The Self-Care of Heart Failure Index (SCHFI) measures self-care with three scales:

Self-care maintenance
Measuring behaviors to maintain Heart Failure stability
Symptom perception
Measuring monitoring behaviors
Self-care management
Assessing the response to symptoms.

Think about how you have been feeling in the last month or since we last spoke as you complete these items.

SECTION A:

1. Listed below are common instructions given to persons with heart failure. How routinely do you do the following? *This question is required.

Space Cell	Never or rarely	Sometimes	Frequently	Always or daily
1.1 Weigh yourself?	1.1 Weigh yourself?: Never or rarely	1.1 Weigh yourself?: Sometimes	1.1 Weigh yourself?: Frequently	1.1 Weigh yourself?: Always or daily
1.2 Check your ankles for swelling?	1.2 Check your ankles for swelling?: Never or rarely	1.2 Check your ankles for swelling?: Sometimes	1.2 Check your ankles for swelling?: Frequently	1.2 Check your ankles for swelling?: Always or daily
1.3 Try to avoid getting sick (e.g., flu shot, avoid ill people)?	1.3 Try to avoid getting sick (e.g., flu shot, avoid ill people)?: Never or rarely	1.3 Try to avoid getting sick (e.g., flu shot, avoid ill people)?: Sometimes	1.3 Try to avoid getting sick (e.g., flu shot, avoid ill people)?: Frequently	1.3 Try to avoid getting sick (e.g., flu shot, avoid ill people)?: Always or daily
1.4 Do some physical activity?	1.4 Do some physical activity?: Never or rarely	1.4 Do some physical activity?: Sometimes	1.4 Do some physical activity?: Frequently	1.4 Do some physical activity?: Always or daily
1.5 Keep doctor or nurse appointments?	1.5 Keep doctor or nurse appointments?: Never or rarely	1.5 Keep doctor or nurse appointments?: Sometimes	1.5 Keep doctor or nurse appointments?: Frequently	1.5 Keep doctor or nurse appointments?: Always or daily
1.6 Eat a low salt diet?	1.6 Eat a low salt diet?: Never or rarely	1.6 Eat a low salt diet?: Sometimes	1.6 Eat a low salt diet?: Frequently	1.6 Eat a low salt diet?: Always or daily
1.7 Exercise for 30 minutes?	1.7 Exercise for 30 minutes?: Never or rarely	1.7 Exercise for 30 minutes?: Sometimes	1.7 Exercise for 30 minutes?: Frequently	1.7 Exercise for 30 minutes?: Always or daily
1.8 Do you always remember to take your medicines?	1.8 Do you always remember to take your medicines?: Never or rarely	1.8 Do you always remember to take your medicines?: Sometimes	1.8 Do you always remember to take your medicines?: Frequently	1.8 Do you always remember to take your medicines?: Always or daily
1.9 Ask for low salt items when eating out or visiting others?	1.9 Ask for low salt items when eating out or visiting others?: Never or rarely	1.9 Ask for low salt items when eating out or visiting others?: Sometimes	1.9 Ask for low salt items when eating out or visiting others?: Frequently	1.9 Ask for low salt items when eating out or visiting others?: Always or daily
1.10 Use a system (pill box, reminders) to help you remember your medicines?	1.10 Use a system (pill box, reminders) to help you remember your medicines?: Never or rarely	1.10 Use a system (pill box, reminders) to help you remember your medicines?: Sometimes	1.10 Use a system (pill box, reminders) to help you remember your medicines?: Frequently	1.10 Use a system (pill box, reminders) to help you remember your medicines?: Always or daily