HH QoL Metrics

Quality of Life Metrics

QoL Via General Well-Being Schedule
1. How Have You Been Feeling In General?*

In Excellent SpiritsIn Very Good SpiritsIn Good Spirits MostlySpirits Have Been Up & DownIn Low Spirits MostlyIn Very Low Spirits
2. Have You Been Bothered By Nervousness?*

Extreme (Can't Work or Manage Life)Very Much SoQuite A BitSome (Enough to Bother)A Little BitNot At All
3. Have You Been In Firm Control of Your Behavior, Thoughts, & Feelings?*

Yes Definitely SoYes For The Most PartGenerally SoSome (Enough to Bother)A Little BitNot At All
4. Have You Ever Felt So Sad, Discouraged, Hopeless, or Had So Many Problems That You Wondered If Life Was Worthwhile?*

Extreme (Almost Given Up)Very Much SoQuite A BitSome (Enough to Bother)A Little BitNot At All
5. Have You Been Under or Felt You Were Under Any Strain, Stress, or Pressure?*

Yes - Almost More Than I Could Bear or StandYes - Quite A Bit of PressureYes - More Than UsualYes - But About UsualA Little BitNot At All
6. How Happy, Satisfied, or Pleased Have You Been With Your Personal Life?*

Extremely Happy - Could Not Be More Satisfied/PleasedVery HappyFairly HappySatisfied/PleasedSomewhat DissatisfiedDissatisfied
7. Have You Had Any Reason to Wonder If You Were Losing Your Mind or Losing Control Over The Way You Act, Talk, Think, Feel, or Remember Things?*

Not At AllA Little BitSome - Not Enough for Concern/WorrySome - A Little Bit ConcernedSome - Quite ConcernedVery Much So - I am Concerned
8. Have You Been Anxious, Worried, or Upset?*

Extreme - To Point of SicknessVery Much SoQuite A BitSome (Enough to Bother)A Little BitNot At All
9. Have You Been Waking Up Fresh & Rested?*

Every DayMost Every DayFairly OftenLess Than Half of DaysRarelyNot At All
Please Reference For Questions 10-14:

| 1 Star = Always | 2 Stars = Most of the time |

| 3 Stars = Often | 4 Stars = Sometimes |

| 5 Stars = A Bit | 6 Stars = None of the time |

*Lower Rating Favorable for 11 & 13
10. Illness, Bodily Disorder, Pains, Fear re: Health?*
*11. Daily Life Full of Interesting Things?*
12. Feeling Downhearted & Blue?*
*13. Emotionally Stable & Sure of Yourself?*
14. Tired, Worn Out, Used Up, or Exhausted?*
15. How Concerned or Worried About Your Health Have You Been?*

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1 is Worst, 10 is Best
16. How Relaxed or Tense Have You Been?*

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1 is Worst, 10 is Best
17. How Much Energy, Pep, & Vitality Have You Felt?*

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1 is Worst, 10 is Best
18. How Depressed or Cheerful Have You Been?*

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1 is Worst, 10 is Best
Additional Comments
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Quality of Life Metrics