Level of Social Support and Associated Factors Among Diabetic Patients in Bahir Dar City Public Hospitals

Supplementary: English version of the questioner PART 1- Questions Related to Socio-economic Characteristics Identification No.__________________ No. Question circle the appropriate option 100 Gender of the respondent? 1. Male 2. Female 101 What is the age of the respondent? Age in years _______ (yy) 102 Residence 1. Urban 2. Rural 103 What is the educational status of the respondent? 1. no formal education 2. Grade1-8 3. Grade 9-12 4. College & above

104 monthly income of the Respondent _______ ETB 105 marital status 1. Married 2. Single 3. Widowed 4. Divorced 106 Do have health insurance 1. Yes 2. no

107 Occupation 1.Private business 2.Government employee 3.Private employee 4.other

PART 4: Clinical parameter 200 Types of diabetes 1. Type 1 2. Type 2 201 Type of current diabetic treatment 1. Insulin 2. Oral drug 3. Both 202 Duration of DM after first diagnosis. 1. < 5 years 3. >10years 2. 5-10 years 203 Comorbid status 1.Yes if specify ----------- 2.no 204 Blood glucose level 1______,2_________,3¬¬_______mg/dl

Part 3 Oslo social support scale (OSSS-3) S.no Question Response 300 How many people are so close to you that you can count on them if you have great personal problems? 1 'none' 2 '1-2' 3 '3-5' 4 '5+' 301 How much interest and concern do people show in what you do? 1 'none' 2 'little' 3 'uncertain' 4 'some' 5 'a lot' 302 How easy is it to get practical help from neighbors if you should need 1 'very difficult' 2 'difficult' 3 'possible' 4 easy 5 very easy