Item | Reject | Undecided | Include |
---|---|---|---|
Domain: activity | |||
I enjoyed what I did (F) | ✓ | ||
I was able to do the things I value (F) | ✓ | ||
I could do the things I wanted to do (F) | ✓ | ||
I was able to do what I needed (F) | ✓ | ||
How well were you able to do your day to day activities (e.g. working, shopping, travelling) (D) | ✓ | ||
My personal needs were met (e.g. being washed, going to the toilet, getting dressed, having food when I needed) (F) | ✓ | ||
Given the help I had/received my self-care needs were met (e.g. being washed, going to the toilet, getting dressed, having food when I needed) | ✓ | ||
I was able to look after myself (F) | ✓ | ||
I was able to look after myself (e.g. being washed, going to the toilet, getting dressed, having food when I needed) (F) | ✓ | ||
I was able to get around inside my home with no difficulty (D) | ✓ | ||
I was able to get around outside with no difficulty (D) | ✓ | ||
Because of hearing and/or speech, how difficult did you find it to have a conversation (D) | ✓ | ||
How well can you hear (using hearing aids if you usually wear them) (D) | ✓ | ||
How well can you see (using your glasses or contact lenses if they are needed) (D) | ✓ | ||
I was able to do the things I wanted to do (S) | ✓ | ||
Domain: autonomy | |||
I felt able to cope with my day to day life (F) | ✓ | ||
I felt unable to cope with my day to day life (F) | ✓ | ||
I felt overwhelmed by the problems or situation (F) | ✓ | ||
I felt in control of my daily life | ✓ | ||
I felt I had no control over my day to day life (F) | ✓ | ||
Domain: cognition | |||
I found it hard to concentrate (F) | ✓ | ||
I found it hard to pay attention (F) | ✓ | ||
I had trouble thinking clearly (F) | ✓ | ||
I had trouble remembering (F) | ✓ | ||
I felt confused (F) | ✓ | ||
Domain: feelings and emotions | |||
I felt happy (F) | ✓ | ||
I felt unhappy (F) | ✓ | ||
I felt sad (F) | ✓ | ||
I thought my life was not worth living (F) | ✓ | ||
I felt that I had nothing to look forward to (F) | ✓ | ||
I felt frightened (F) | ✓ | ||
I felt afraid (F) | ✓ | ||
I felt safe (F) | ✓ | ||
I felt unsafe (F) | ✓ | ||
I felt anxious (F) | ✓ | ||
I felt worried (F) | ✓ | ||
I felt calm (F) | ✓ | ||
I felt irritable (F) | ✓ | ||
I felt angry (F) | ✓ | ||
I felt frustrated (F) | ✓ | ||
I lost my temper easily (F) | ✓ | ||
I felt cheerful (F) | ✓ | ||
Domain: physical sensations | |||
I had no physical pain (mild pain etc.) (S) | ✓ | ||
How often do you experience physical pain (F) | ✓ | ||
I had no physical discomfort (mild discomfort etc.) (S) | ✓ | ||
How often do you experience physical discomfort (F) | ✓ | ||
I felt exhausted (F) | ✓ | ||
I felt very tired (F) | ✓ | ||
I had problems with my sleep (F) | ✓ | ||
Domain: Relationships | |||
I felt unsupported by people (F) | ✓ | ||
I had support when I needed it (F) | ✓ | ||
I got along well with people around me (F) | ✓ | ||
I felt lonely (F) | ✓ | ||
I felt there was nobody I was close to (F) | ✓ | ||
I felt I had no one to talk to (F) | ✓ | ||
I felt isolated (F) | ✓ | ||
I felt people avoided me (F) | ✓ | ||
I felt accepted by others (F) | ✓ | ||
I felt excluded (F) | ✓ | ||
I felt left out (F) | ✓ | ||
Domain: self-identity | |||
I felt confident in myself (F) | ✓ | ||
I felt unsure about myself (F) | ✓ | ||
I felt good about myself (F) | ✓ | ||
I felt like a failure (F) | ✓ |