McGill Quality of Life Questionnaire (MQOL)

PART A
Considering all parts of my life—physical‚ emotional‚ social‚ spiritual‚ and financial—over the past 2 days the quality of my life has been:
Very bad 0 1 2 3 4 5 6 7 8 9 10 Excellent
PART B: PHYSICAL SYMPTOMS OR PHYSICAL PROBLEMS
1. For the questions in Part “B‚” please list the PHYSICAL SYMPTOMS OR BIGGEST PROBLEMS for you over the past 2 days. (Some examples are pain‚ tiredness‚ weakness‚ nausea‚ vomiting‚ constipation‚ diarrhea‚ trouble sleeping‚ shortness of breath‚ lack of appetite‚ sweating‚ and immobility. Feel free to refer to others if necessary).
2. Circle the number that best shows how big a problem each one has been for you OVER THE PAST 2 DAYS.
3. If‚ over the past 2 days‚ you had NO physical symptoms or problems‚ or only one or two‚ answer for each of the ones you have had and write “none” for the extra questions in Part B‚ then continue with Part C.
1. Over the past 2 days
One troublesome symptom has been: (Write symptom)
No problem 1 2 3 4 5 6 7 8 9 10 Tremendous problem
2. Over the past 2 days
Another troublesome symptom has been: (Write symptom)
No problem 1 2 3 4 5 6 7 8 9 10 Tremendous problem
3. Over the past 2 days
A third troublesome symptom has been: (Write symptom)
No problem 1 2 3 4 5 6 7 8 9 10 Tremendous problem
4. Over the past 2 days I have felt:
Physically terrible 1 2 3 4 5 6 7 8 9 10 Physically well
PART C
Please choose the number which best describes your feelings and thoughts OVER THE PAST 2 DAYS.
5. Over the past 2 days‚ I have been depressed:
Not at all 1 2 3 4 5 6 7 8 9 10 Extremely
6. Over the past 2 days‚ I have been nervous or worried:
Not at all 1 2 3 4 5 6 7 8 9 10 Extremely
7. Over the past 2 days‚ how much of the time did you feel sad?
Never 1 2 3 4 5 6 7 8 9 10 Always
8. Over the past 2 days‚ when I thought of the future‚ I was:
Not afraid 1 2 3 4 5 6 7 8 9 10 Terrified
9. Over the past 2 days‚ my life has been:
Utterly meaningless and without purpose 1 2 3 4 5 6 7 8 9 10 Very purposeful and meaningful
10. Over the past 2 days‚ when I thought about my whole life‚ I felt that in achieving life goals I have:
Made no progress whatsoever 1 2 3 4 5 6 7 8 9 10 Progressed to complete fulfillment
11. Over the past 2 days‚ when I thought about my life‚ I felt that my life to this point has been:
Completely worthless 1 2 3 4 5 6 7 8 9 10 Very worthwhile
12. Over the past 2 days‚ I have felt that I have:
No control over my life 1 2 3 4 5 6 7 8 9 10 Complete control over my life
13. Over the past 2 days‚ I felt good about myself as a person.
Completely agree 1 2 3 4 5 6 7 8 9 10 Completely disagree
14. To me‚ the past 2 days were:
A burden 1 2 3 4 5 6 7 8 9 10 A gift
15. Over the past 2 days‚ the world has been:
An impersonal‚ unfeeling place 1 2 3 4 5 6 7 8 9 10 Caring and responsive to my needs
16. Over the past 2 days‚ I have felt supported:
Not at all 1 2 3 4 5 6 7 8 9 10 Completely
PART D
(Optional Section)
Please list or describe the things that had the greatest effect on your quality of life in the past 2 days. Please tell us whether each thing you list made your quality of life better or worse during this time. If you need more space‚ please continue on the back of this page.
 
 
 

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