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Mariano Gómez Vargas
hace 7 años
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1 Healthy Families Program Page 1 of 5 N I D A - C F S NODE: 0 7 PARTICIPANT ID: SITE ID: RELATION: - FORM COMPLETION STATUS ASSESSMENT DATE: / / (mm/dd/yyyy) PHASE: Baseline Post Randomization SEGMENT: SEQUENCE: 0 1 FORM COMPLETED BY: FORM COMPLETION LANGUAGE: glish Spanish Both 1=Form completed as required 2=Participant refused 3=Responsible person did not complete 4=Not enough time at the visit 5=Participant did not attend visit 6=Other (specify: ) Rate the following statements using the following scale: 1=, 2=, 3=, 4=, 5=, 6= Califique las siguientes declaraciones usando la siguiente escala: 1=, 2=, 3=, 4=, 5=, 6= Whether or not I get to be a leader depends on my ability. Si yo llego a ser un lider o no depende en mis abilidades. To a great extent, my life is controlled by accidental happenings. Hasta cierto punto, mi vida es controlada por sucesos accidentales. 3. I feel like what happens in my life is mostly determined by powerful people. Siento que las cosas que pasan en mi vida son mayormente controladas por personas poderosas. 4. Whether or not I get into a car accident depends mostly on how good a driver I am. Si yo me veo involucrado en un accidente de tránsito depende mayormente en lo buen chofer que yo sea.

2 Page 2 of 5 5. When I make plans, I am certain to make them work. Cuando hago planes, me aseguro de cumplirlos. 6. Often there is no chance of protecting my personal interests from bad luck happenings. Muchas veces no tengo manera de proteger mis intereses personales de que le sucedan cosas malas When I get what I want, it is usually because I am lucky. Cuando yo consigo lo que quiero es mayormente porque tengo buena suerte. Although I might have good ability, I will not be given leadership responsibiility without appealing to those in positions of power. Aunque pueda que tenga una buena habilidad, no se me dará responsabilidades de liderazgo sin tener que apelar a aquellos en posiciones de poder How many friends I have depends on how nice a person I am. La cantidad de amigos que yo tengo depende en que amable yo sea. I have often found that what is going to happen will happen. Yo me he dado cuenta de que lo que va a suceder, sucede.

3 Page 3 of My life is chiefly controlled by powerful others. Mi vida es principalmente controlada por otros poderosos. 12. Whether or not I get into a car accident is mostly a matter of luck. El que yo me involucre en un acidente de tránsito es mayormente una cuestion de suerte. 13. People like myself have very little chance of protecting our personal interests when they conflict with those of strong pressure groups. Personas como yo tienen muy pocas oportunidades de protejer sus intereses personales cuando estos inerfieren con los de grupos de fuerte presión. 14. It is not always wise for me to plan too far ahead becuase many things turn out to be a matter of good or bad fortune. No es muy bueno que yo planifique con mucha anticipación porque las cosas resultan en una cuestion de buena o mala suerte. 15. Getting what I want requires pleasing those people above me. Consequir lo que yo quiero requiere complacer a los que estan por encima de mi.

4 Page 4 of Whether or not I get to be a leader depends on whether or not I am lucky enough to be in the right place at the right time. El que yo lleque a ser un lider o no, depende en que yo este o no este en el lugar correcto en el momento correcto. If important people were to decide they didn't like me, I probably wouldn't make many friends. Si las personas importantes decidieran que no les caigo bien, yo probablemente no tendria muchos amigos. 18. I can pretty much determine what will happen in my life. Yo casi siempre puedo decidir lo que pasa en mi vida. 19. I am usually able to protect my personal interests. Yo usualmente puedo proteger mis intereses l 20. Whether or not I get into a car accident depends mostly on the other driver. El que yo me involucre en un accidente depende mayormente en el otro chofer. 21. When I get what I want, it is usually because I worked hard for it. Cuando yo consigo lo que quiero es porque trabajo muy duro.

5 Healthy Families Program Page 5 of In order to have my plans work, I make sure that they fit in with the desires of people who have power over me. Para que mis planes se realizen, yo me aseguro que esten en acuerdo con las personas que tienen poder sobre mi. 23. My life is determined by my own actions. Mi vida la determinan mis propias acciones. 24. It is chiefly a matter of fate whether or not I have a few friends or many friends. Si yo tengo algunos o muchos amigos es mayormente una cuestión de suerte. Comments: Comentarios:

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