Spitzer Quality-of-Life Index – QL-Index (Self-assessment)

What is your “main” activity? 1. I work full-time (or nearly so) in my usual occupation or study full-time (or nearly so) or manage my own household or take part in as much unpaid or voluntary activity as I wish, whether retired or not. 2. I work or study in my usual occupation or manage my own household or participate in unpaid or voluntary activities; but I need a lot of help to do so or I work greatly reduced hours. 3. I do not work in any capacity, nor do I study, nor do I manage my own household.

Ability to look after yourself. 1. I am able to eat, wash, go to the toilet and dress without assistance. I drive a car or use public transport without assistance. 2. I can travel and perform daily activities only with assistance (another person or special equipment) but can perform light tasks. 3. I am confined to my home or an institution and cannot manage personal care or light tasks at all.

What is your state of health? 1. I feel well most of the time. 2. I lack energy or only feel “up to par” some of the time. 3. I feel very ill or “lousy” most of the time.

What support do you receive from others? 1. I have good relationships with others and receive strong support from at least one family member and/or friend. 2. The support I receive from family and friends is limited. 3. The support I receive from family and friends occurs infrequently or only when absolutely necessary.

How do you feel about your life? 1. I am basically a calm person. I generally look forward to things and am able to make my own decisions about my life and surroundings. 2. I am sometimes troubled and there are times when I do not feel fully in control of my personal life. I am anxious and depressed at times. 3. I feel frightened and completely confused about things in general.