Form: WHO Quality of Life, WHOQOL-BREF

1. How would you rate your quality of life?

2. How satisfied are you with your health?

3.

The following questions ask about how much you have experienced certain things in the last two weeks.

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 medical treatment to function in your daily life?

5. How much do you enjoy life?

6. To what extent do you feel your life to be meaningful?

7. How well are you able to concentrate?

8. How safe do you feel in your daily life?

9. How healthy is your physical environment?

10.

The following questions ask about how completely you experience or were able to do certain things in the last two weeks.

Do you have enough energy for everyday life?

11. Are you able to accept your bodily appearance?

12. Have you enough money to meet your needs?

13. How available to you is the information that you need in your day-to-day life?

14. To what extent do you have the opportunity for leisure activities?

15. How well are you able to get around?

16.

The following questions ask you to say how good or satisfied you have felt about various aspects of your life over the last two weeks.

How satisfied are you with your sleep?

17. How satisfied are you with your ability to perform your daily living activities?

18. How satisfied are you with your capacity for work?

19. How satisfied are you with yourself?

20. How satisfied are you with your personal relationships?

21. How satisfied are you with your sex life?

22. How satisfied are you with the support you get from your friends?

23. How satisfied are you with the conditions of your living place?

24. How satisfied are you with your access to health services?

25. How satisfied are you with your transport?

26.

The following question refers to how often you have felt or experienced certain things in the last two weeks.

How often do you have negative feelings such as blue mood, despair, anxiety, depression?