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Printable workbook
De Jong Gierveld Loneliness Workbook
$5.99 PDF, A4 and US Letter · 34 pages · instant download
Use the De Jong Gierveld Loneliness Scale to reflect on emotional and social connection, score your answers, and keep track with reusable worksheets and trackers.
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What is in the pack
- Cover 1 page
The cover of your workbook. - Start here 2 pages
What is inside, how to use the workbook and a simple path to follow. - The measure and scoring 4 pages
The items to answer on paper, step-by-step scoring and a worked example. - Worksheets 14 pages
Fill-in pages that turn your result or your plan into small, concrete steps. - Trackers 5 pages
Repeatable pages to follow change over weeks. Print as many copies as you need. - Quick reference 2 pages
One-page cards to keep at hand: the scale at a glance, ranges and prompts. - Reading guide 3 pages
A short plain-English guide to what the result means and what it cannot tell you. - Professional guide 2 pages
Administration, interpretation and limits for counsellors, coaches and clinicians. - Credits and references 1 page
Full references and credit to the authors and rights holders.
Also included: the complete workbook. Every file above merged into one PDF of 34 pages, in A4 and in US Letter, so you can print it in one go.
Who it is for
- Adults reflecting on their connection life
- People sorting emotional and social needs
- Counselors and coaches supporting adult clients
- Clinicians using reflection pages in sessions
Want to try it first? Use the free online .
When loneliness feels hard to name, it can help to pause and ask what kind of connection feels missing. The De Jong Gierveld Loneliness Workbook uses the six-item De Jong Gierveld Loneliness Scale (DJGLS) to distinguish emotional loneliness, related to a close and trusting relationship, from social loneliness, related to a wider network. The result is a brief self-report snapshot, not a verdict about you.
The 34-page pack is provided as PDF files in both A4 and US Letter. Start Here lays out a six-week path; the four-page Questionnaire and Scoring file includes the six statements, scoring steps, result bands, and a worked example. Fourteen Worksheets offer prompts such as trust rings, a wider-network map, an invitation planner, and a hard-day plan. Five Tracker pages include a score history chart, weekly log, habits grid, review, and month overview. The two-page Quick Reference, three-page Guide, two-page Clinician Guide, and one-page Credits and References file explain use, limits, and sources.
You can work through one short session a week, beginning with your answers and choosing a reflection or small planning page that fits. The Start Here schedule suggests a repeat in week five and a six-week review; the score history chart can hold up to six administrations. Reprint the pages marked for reuse as needed. You finish with a personal record of your answers, reflections, and next steps to revisit or discuss with someone you trust.
What you get
- Answer the six DJGLS statements and use the Questionnaire and Scoring pages to calculate emotional, social, and total scores.
- Compare your responses with the result bands, with the Guide explaining that these labels are not clinical severity cutoffs.
- Map trust rings and your wider network in Worksheets 4 and 5 to name the connections you want to reflect on.
- Use the invitation planner and hard-day plan to write down a small next step and words you might reach out with.
- Record up to six administrations on the score history chart, alongside weekly logs and a month overview.
What it is not
For educational self-reflection only; this workbook is not a diagnosis or treatment. The De Jong Gierveld Loneliness Scale was developed by Jenny de Jong Gierveld and Theo van Tilburg. Personal use is included; professionals may reuse pages with their own clients. Wider distribution or resale requires a separate arrangement.
Questions people ask
Is the De Jong Gierveld Loneliness Scale free, and what does this workbook include?
The workbook reproduces the scale items, response options, scoring, and result labels with credit to Jenny de Jong Gierveld and Theo van Tilburg. It also includes worksheets, trackers, a reading guide, a clinician guide, and references. The pack states personal use by default and allows professionals to reuse pages with their own clients.
How do I score the De Jong Gierveld Loneliness Scale?
The workbook assigns scores to each of six answers, then sums items 1 to 3 for an emotional subtotal and items 4 to 6 for a social subtotal; each ranges from 0 to 3, and the total ranges from 0 to 6. Its guide says the result bands describe answer counts, not clinical severity.
Can I print this loneliness workbook on A4 or US Letter paper?
Yes. The files are printable PDFs in both A4 and US Letter formats. The pack contains nine files totaling 34 pages in either size: a 1-page cover, 2-page Start Here, 4-page questionnaire and scoring, 14-page worksheets, 5-page trackers, 2-page quick reference, 3-page guide, 2-page clinician guide, and 1-page credits and references.