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This core set of CSQ Scales items reprises the empirical item selection of the CSQ-3 item set and adds an additional item measuring improvement in self-efficacy (“Have the services helped you deal more effectively with your problems?” The CSQ-4 is available in English and Spanish. Psychometric properties, operating characteristics, and coefficient alpha are very strong for this measure. The CSQ Scales Reprint Portfolio presents publications that describe the history of the development of the CSQ Scales.