Table 6 EQ-HWB and EQ-HWB-S measuresa
These questions are trying to measure how your life has been over the last 7 days. Please answer all questions. There are no wrong or right answers |
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Difficulty (no, slight, some, a lot and unable) 1. How difficult was it for you to see? (using, for example, glasses or contact lenses if you usually use them) 2. How difficult was it for you to hear? (using, for example, hearing aids if you usually use them) 3. How difficult was it for you to get around inside and outside? (using, for example, walking stick, frame or wheelchair, if you usually use them) 4. How difficult was it for you to do day-to-day activities? (for example, working, shopping, housework) 5. How difficult was it for you to wash, toilet, get dressed, eat or care for your appearance? |
Frequency (none of the time, only occasionally, sometimes, often, most or all the time) 6. I felt I had no control over my day-to-day life (had the choice or do things or have things done for you as you liked and when you wanted) 7. I felt unable to cope with my day-to-day life 8. I had trouble remembering 9. I had trouble concentrating/thinking clearly 10. I felt anxious 11. I felt frustrated 12. I felt sad or depressed 13. I felt I had nothing to look forward to 14. I felt lonely 15. I felt unsupported by people 16. I felt unsafe (fear of falling, abuse or other physical harm) 17. I had problems with my sleep 18. I felt exhausted 19. I felt accepted by others (felt like you were able to be yourself and that you belonged) 20. I felt good about myself 21. I could do the things I wanted to do |
Frequency (items 22, 24: none of the time, only occasionally, sometimes, often, most or all the time) and severity (items 23, 25: no, mild, moderate, severe, very severe) 22. I had physical pain 23. I had physical pain 24. I had physical discomfort (for example, feeling sick, breathless, itching (not including pain)) 25. I had physical discomfort |