70 f!. Entrance at school G. Adolescence H. Divorce or separation I. Menopause . I. Chronic Illness K. Loss of Job L. Hospitalization of a family member M. Death of a membe-r N. Resettlement In a new community 0. Illegitimacy P. Others, specify __________ _ SECOND-LEVEL ASSESSMENT I. Inability to recognize the presence of the condition or problem due to1 A, Lack of or inadequate knowledge e. Denial about rts existence or severity as a ri!Sult of fear of conseque nces of diagnosis of problem, specifically: 1. soda I-stigma. loss of respect of peer/slgnfffcant others 2.. economic/cost lmpllcat1ons 3. physical consequences 4. emotlonel/psycho1ogicai Issues/concerns c. Attltude/philosopby In fife which hinders recognltion/a eceptance of a problem o. Others, specify __________ _ 11. Inability to make declsrons with respect to taklngcapproprlate health action due to: A. Failure to comprehend the nature/magnf-tude of the problem/condition s. Low salience of the-problem/condition c. Feeling of eonfusion, he1pfessness and/or resignation brought about by perctvved m. ignitude/severlty of the situation or problem, i. e., failure to break down problems into manageab le units of attack o. Lack of/Inadequate knowledge/Insight as to alternative courses of a1::tion open to them E. Inability to decfde which action to take from among a list of alternatives F. Conflicting opinions among family members/signlfk. int others regarding action to-take G Lack of/Inadequate knowledge of commun ity resources for care H. Fear of consequences of action, speciftcally: 1. soda! consequences 2. ec;anomic consequences 3. phys. leaf consequences 4. emotional/psychological consequences I. Negati\l. e. ittitude towards the health condition or pr-oblem-By negative attitude ls meant one that interferes with rational decision making J. Inaccessibility of appropriate resources for care, speciffcally: 1. physical Inaccessibility 2. cost constraints or econom ic/financial lnaccessibllity K. Lack of tru$t/confidence In the hea Uh personnel/agency l. Mrsconceptlons or erroneous Information about proposed course(s J of action M. Oth. ers,·specify _________ _ 