YQOL-R
Youth Quality of Life
YQOL-R Score
Name
*
First Name
Last Name
Your Date of Birth
*
/
Month
/
Day
Year
Date
Your Age (in Years)
*
Validated for ages 10-17
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Instructions
(Estimated to Complete: 2 minutes) The following are 15 statements that someone might make about themself. Please select the ONE NUMBER on each scale that accurately and HONESTLY describes how closely the statement applies to you IN GENERAL. There are no right or wrong answers, we are only interested in how you feel about your life.
I am able to do most things as well as I want.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel good about myself.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel I am important to others.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I am pleased with how I look.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel understood by my parents or guardians.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel I am getting along with my parents or guardians.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel alone in my life.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I am happy with the friends that I have.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel I can take part in the same activities as others my age.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel my life is full of interesting things to do.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I look forward to the future.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel safe when I am at home.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I feel I am getting a good education.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
I am satisfied with the way my life is now.
*
Not At All
0
1
2
3
4
5
6
7
8
9
Very Much
10
0 is Not At All, 10 is Very Much
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