World Health Organisation Quality of Life (Brief version)
World Health Organisation; based on WHOQoL 100
کیفیت زندگی، سازمان بهداشت جهانی
ABOUT YOU Before you begin we would like to ask you to answer a few general questions about yourself: by circling the correct answer or by filling in the space provided.
What is your gender? Male Female
What is your date of birth? ______ / ______ / ______ day month year
What is the highest education you received? None at all‚ Primary school‚ Secondary school‚ Tertiary
What is your marital status? Single‚ Separated‚ Married‚ Divorced‚ Widowed‚ Living as married Are you currently ill? Yes No
If something is wrong with your health what do you think it is? ___________________________________ illness/problem.
Please read each question‚ assess your feelings‚ for the last two weeks‚ and circle the number on the scale for each question that gives the best answer for you.
1. How would you rate your quality of life? Very poor‚ Poor‚ Neither poor nor good‚ Good‚ Very good
2. How satisfied are you with your health? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
The following questions ask about how much you have experienced certain things in the last two weeks. Not at all‚ A little‚ A moderate amount‚ Very much‚ An extreme amount
3. To what extent do you feel that physical pain prevents you from doing what you need to do?
4. How much do you need any daily treatment to function in your daily life? . Not at all‚ A little‚ A moderate amount‚ Very much‚ An extreme amount
5. How much do you enjoy life? . Not at all‚ A little‚ A moderate amount‚ Very much‚ An extreme amount
6. To what extent do you feel your life to be meaningful? Not at all‚ A little‚ A moderate amount‚ Very much‚ An extreme amount
7. How well are you able to concentrate? Not at all‚ A little‚ A moderate amount‚ Very much‚ extremely
8. How safe do you feel in your daily life? Not at all‚ A little‚ A moderate amount‚ Very much‚ extremely
9. How healthy is your physical environment? Not at all‚ A little‚ A moderate amount‚ Very much‚ extremely
10.The following questions ask about how completely you experience or were able to do certain things in the last four weeks.
10. Do you have enough energy for everyday life? Not at all‚ A little‚ moderate‚ mostly‚ completely
11.Are you able to accept your bodily appearance? Not at all‚ A little‚ moderate‚ mostly‚ completely
12.Have you enough money to meet your needs? Not at all‚ A little‚ moderate‚ mostly‚ completely
13.How available to you is the information that you need in your day-to-day life? Not at all‚ A little‚ moderate‚ mostly‚ completely
14.To what extent do you have the opportunity for leisure activities? Not at all‚ A little‚ moderate‚ mostly‚ completely
15.How well are you able to get around? Very poor‚ Poor‚ Neither poor nor good‚ Good‚ Very good
16.How satisfied are you with your sleep? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
17.How satisfied are you with your ability to perform your daily living activities? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
18.How satisfied are you with your capacity for work? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
19.How satisfied are you with yourself? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
20.How satisfied are you with your personal relationships? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
21.How satisfied are you with your sex life? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
22.How satisfied are you with the support you get from your friends? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
23.How satisfied are you with the conditions of your living place? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
24.How satisfied are you with your access to health services? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
25.How satisfied are you with your transport? Very dissatisfied‚ Dissatisfied‚ Neither satisfied nor dissatisfied‚ Satisfied‚ Very satisfied
The following question refers to how often you have felt or experienced certain things in the last four weeks.
26.How often do you have negative feelings such as blue mood‚ despair‚ anxiety‚ depression? Never‚ Seldom‚ Quite often‚ Very often‚ Always
Do you have any comments about the assessment? …. …. …. …..
شرح : پرسشنامه کامل دارای 100 گویه است که چهار زمینه : بهداشت جسمی، روانی ، روابط اجتماعی و محیطی را اندازه گیری می کند.
چگونگی دستیابی:
Also
رده سنی : عمومی
نمره گذاری: برای آگاهی بیشتر از نمره گذاری به نشانی زیر مراجعه کنید.
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Equations for computing domain scores
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Raw score
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Mean score
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Domain 1
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(6-Q3) + (6-Q4) + Q10 + Q15 + Q16 + Q17 + Q18
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…./7
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Domain 2
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Q5 + Q6 + Q7 + Q11 + Q19 + (6-Q26)
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…./6
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Domain 3
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Q20 + Q21 + Q22
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…./3
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Domain 4
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Q8 + Q9 + Q12 + Q13 + Q14 + Q23 + Q24 + Q25
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…./8
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منبع برای آگاهی بیشتر
Citation: Murphy B‚ Herrman H‚ Hawthorne G‚ Pinzone T‚ Evert H (2000). Australian WHOQOL instruments: Users manual and interpretation guide. Australian WHOQOL Field Study Centre‚ Melbourne‚ Australia http://www.psychiatry.unimelb.edu.au/qol/whoqol
Permission: Registration no; 2007/184. Registration entitles users to technical support‚ assistance with data‚ scoring algorithms‚ interpretation and population norms via the Australian WOQOL Field Study Centre: http://www.acpmh.unimelb.edu.au/whoqol_aqol.html.