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World Health Organization Quality of Life Survey-Brief-Post P3 trainingHE

1.WHO-QOL Pre Training

For this survey, you will indicate your Code Number, your zip or mail code and today's date at the end of the survey.

Please answer the 26 question of the WHO Quality of Life Survey completely, honestly and (if possible) without interruptions. 

Read the questions carefully.  The scale is reversed for some questions. 

Thank you!
1.How would you rate your quality of life?(Required.)
Very Poor
Poor
Neither Poor nor Good
Good
Very Good
2.How satisfied are you with your health?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
3.To what extent do you feel that physical pain prevents you from doing what you need to do?(Required.)
Not at all
A little 
A moderate amount
Very much
An extreme amount
4.How much do you need any medical treatment to function indoor daily life?(Required.)
Not at all
A little
A Moderate Amount
Very much
An extreme amount
5.How much do you enjoy life?(Required.)
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?(Required.)
Not at all
A little
A Moderate Amount
Very much
An extreme amount
7.How well are you able to concentrate?(Required.)
Not at all
Slightly
A Moderate amount
Very much
An extreme amount
8.How safe do you feel in your daily life?(Required.)
Not at all
Slightly
A Moderate amount
Very Much
Extremely. 
9.How healthy is your physical environment?(Required.)
Not at all
Slightly
A Moderate amount
Very Much
Extremely. 
10.Do you have enough energy for everyday life?(Required.)
Not at all
A little 
Moderately
Mostly
Completely
11.Are you able to accept your bodily appearance? (Required.)
Not at all
A little 
Moderately
Mostly
Completely
12.Have you enough money to meet your needs?(Required.)
Not at all
A little 
Moderately
Mostly
Completely
13.How available to you is the information that you need in your day-to-day life?(Required.)
Not at all
A little 
Moderately
Mostly
Completely
14.To what extent do you have the opportunity for leisure activities?(Required.)
Not at all
A little 
Moderately
Mostly
Completely
15.How well are you able to get around?(Required.)
Very poor
Poor
Neither poor nor well
Well
Very well
16.How satisfied are you with your sleep?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
17.How satisfied are you with your ability to perform your daily living activities?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
18.How satisfied are you with your capacity for work? (Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
19.How satisfied are you with your abilities?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
20.How satisfied are you with your personal relationships?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
21.How satisfied are you with your sex life?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
22.How satisfied are you with the support you get from your friends?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
23.How satisfied are you with the conditions of your living place?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
24.How satisfied are you with your access to health services?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
25.How satisfied are you with your mode of transportation?(Required.)
Very dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Very satisfied
26.How often do you have negative feelings, such as blue mood, despair, anxiety and depression?(Required.)
Never
Seldom 
Quite often
Very often
Always
27.ID number and your zip or postal code. (Required.)
28.Please enter today's date:(Required.)