法鼓文理學院：宿舍生活適應量表 DILA: Adjustment Scale for Dormitory Living
本量表是為瞭解您近1個月以來的宿舍生活狀況，您的回答並無對錯，請依自己實際情況填答，請保持輕鬆的心情填答。

    Adjustment Scale for Dormitory Living would like to understand your living conditions in DILA dorm in recent month. It will take you about 5-10 minutes to fill out the questionnaire. This will help assess your dormitory living state(how you feel, and whether or not you’re having any problems adapting to live in dorm.).
    Take your time, fill out your answer as honestly as possible. Answer each question with how you truely feel. If you have any questions or issues want to talk about, you can contact us by email as follow, the counseling psychologist will reply you personally.

Sincerely yours

DILA Counseling and Alumni Center  Wen-Ling Hsu(school counselor)
Contact E-mail：schoolcounseling@dila.edu.tw
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【宿舍生活適應量表施測同意書】(1)施測方法：採線上施測，大約花您5~10分鐘。(2)這份測驗可以幫助您了解自己的身心狀態，及自我適應校園生活的情況，作為規劃校園生活的參考；並協助學校諮商輔導中心了解您的身心健康狀況，針對個人需求給予適當之關懷並提供您可以運用的資源。(3)結果報告：只有本校諮商輔導中心的輔導老師於必要時才可調閱，並遵守保密原則及相關倫理。若導師或其他人士申請調閱時，需經過同學本人之同意。【Consent】(1)Method: Adjustment Scale for Dormitory Living adopt on line scale, it will spend you about 5-10 minutes to fill out.(2)This scale could help you to understand your mental health status and your adapted condition in campus life. And it also could assist you to plan your campus life or help us (Counseling and Alumni Center in DILA) to understand your mental health condition.(3)Scale Result: only counseling psychologist in DILA could read your scale result when necessary situation happens. The counseling psychologist will comply with confidentiality agreement and related counseling ethics.If your teacher or other people apply for your scale result, the counseling psychologist will ask your agreement. *
Required
1.我滿意我的住宿生活。(I am satisfied with my life in dorm.) *
非常不同意(completely disagree)
非常同意(completely agree)
2.我覺得住宿生活常讓我覺得輕鬆愉快。(I feel relaxed and peaceful when I stay in my dorm.) *
非常不同意(completely disagree)
非常同意(completely agree)
3.我和室友的相處互動良好。(My interaction with my roommate is good.) *
非常不同意(completely disagree)
非常同意(completely agree)
4.在團體生活中，我未曾有過被排擠的困擾。(In group life, I have never been troubled by being excluded.) *
非常不同意(completely disagree)
非常同意(completely agree)
5.我覺得目前能夠適應團體生活。(I feel that until now I can adapt to group life.) *
非常不同意(completely disagree)
非常同意(completely agree)
6.在宿舍情緒不好時，我知道怎麼照顧自己。(When I feel upset in dorm, I know how to take care of myself.) *
非常不同意(completely disagree)
非常同意(completely agree)
7.目前在宿舍中，我和他人的互動良好。(Currently in the dorm, my interaction with others is good.) *
非常不同意(completely disagree)
非常同意(completely agree)
8.在宿舍，我有些很談得來的同學或朋友。(In the dorm, there are some classmates or friends that can get along with me very well.) *
非常不同意(completely disagree)
非常同意(completely agree)
請注意，以下第9題、第10題: 選0為非常同意、選5為非常不同意。(Attention! The 9th and 10th options: if you choose "0", it means completely agree; if you choose "5", it means completely disagree.)
9.我希望有師長可以給我一些宿舍生活上的協助。( I hope that there could be have some teachers or staffs to assist my dorm living.) *
非常同意(completely agree)
非常不同意(completely disagree)
10.我覺得在宿舍碰到困難時，找不到可以協助的人。(  I feel that when I encounter difficulties in the dorm, but there is no one can assist or help me.) *
非常同意(completely agree)
非常不同意(completely disagree)
請填入你的姓名/法名。(Please fill in your name.) *
請填入你的學號。(Please fill in your student ID number.) *
請填入你常用的電子信箱。(Please fill in your frequently used email.) *
當您的得分在0~10分之間，諮商輔導中心將主動與您聯繫，瞭解您的情況並給予相關的支持。您如果收到諮商輔導中心寄的信，請讓我們知道你有收到。我們會依您的情況定期或不定期的關心您的生活適應情況，給予您情緒支持。讓我們一同努力來改善宿舍適應狀況。(We want reminding you if you get scores between 0 and 10, we will contact you by email, please let us know you’ve received our caring letter. After contacting or caring you, we will still concern about your condition regular or irregular by email (depends on your own condition), the same, please let us know you’ve received our caring letter. Hope we can improve your dorm life.)
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