روانسنجی
اولین سایت تخصصی فارسی تست های روان سنجی ، روان شناسی

Oral Health Quality of Life inventory (OH-QoL)
Cornell‚ et al

1
a.    How important is it for your mouth to feel moist:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with how moist your mouth feels:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
2
a.    How important is it to you not to have to stop what you are doing to get a drink of water because your mouth is dry:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with the number of times you have to stop what you are doing to get a drink of water because your mouth is dry:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
3
a.    How important is your being able to taste your food:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your being able to taste your food:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
4
a.    How important to you is your sense of smell:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your sense of smell:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
5
a.    How important is it to you how your teeth or dentures look:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with how your teeth or dentures look:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
6
a.    Do you have and wear dentures or partial dentures?
1 Yes? Or 2 No? -‎--‎-> SKIP TO 7a
b.    How important is it to you that your dentures don't slip or make noise:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
c.    How happy are you with how often your dentures slip or make noise:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
7
a.    How important is the health of your mouth to you:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with the health of your mouth?
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
8
a.    How important is how your breath smells:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with the way your breath smells:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
9
a.    How important is it to you to drink hot and cold liquids without pain:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with drinking hot and cold liquids without pain:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
10
a.    How important is it to you to speak clearly:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your ability to speak clearly:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
11
a.    How important is it to you to be able to bite or chew hard foods such as nuts‚ apples‚ dried fruit‚ crunchy breads or rolls:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your being able to bite or chew hard foods such as nuts‚ apples‚ dried fruit‚ crunchy breads or rolls:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
12
a.    How important is it to you to be able to bite and chew food without pain:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your being able to bite and chew foods without pain:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
13
a.    How important is it to you to eat all your food without it sticking in your mouth (under your dentures; in your cheeks; on your tongue):
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your being able to eat all your food without it sticking in your mouth (under your dentures; in your cheeks; on your tongue):
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
14
a.    How important is it for you to swallow your food without choking or it getting caught in your throat:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your being able to swallow your food without choking or it getting caught in your throat:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?
15
a.    How important is it to you to chew any food you want:
1=Not at all Important?‚ 2=Somewhat Important? or 3=Very Important?
b.    How happy are you with your ability to chew any food you want:
1=Unhappy?‚ 2=Somewhat Unhappy?‚ 3=Somewhat Happy? Or 4=Happy?

This instrument can be found at: https://www.academia.edu/28559812/Measuring_oral_health_and_quality_of_life  

National Institute of Dental Research (NIDR). (1991). Oral health surveys of the National Institute of Dental Research. Diagnostic criteria and procedures. Bethesda (MD): National Institute of Dental Research; 1991 Jan. Report No.: NIH-NIDR-91-20892.
Frisch‚ M.B.‚ Cornell‚ J.‚ Villanueva‚ M.‚ Retzlaff‚ P.J. (1992). Clinical Validation of the quality of life inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment‚ 4‚ 92–101.
Frisch MB. QOLI™: (1994).Quality of Life Inventory. Minneapolis (MN): NCS‚
Slade‚ G.D.‚ Spencer‚ A.J. (1994). Development and evaluation of the Oral Health Impact Profile. Community Dental Health; 11‚ 3–11.
Slade‚ Gary D.‚ Strauss‚ Ron.‚ Atchison‚ Kathryn.‚ et al. (1997). Measuring Oral Health and Quality of Life. Department of Dental Ecology‚ School of Dentistry‚ University of North Carolina