Quality of Life Index (QLI)

Part I
 
1=Very Dissatisfied‚ 2=Moderately Dissatisfied‚ 3=Slightly Dissatisfied‚ 4=Slightly Satisfied‚ 5=Moderately Satisfied‚ 6=Very Satisfied
HOW SATISFIED ARE YOU WITH:
1. Your health?
2. Your health care?
3. The amount of pain that you have?
4. The amount of energy you have for everyday activities?
5. Your ability to take care of yourself without help?
6. The amount of control you have over your life?
7. Your chances of living as long as you would like?
8. Your family’s health?
9. Your children?
10. Your family’s happiness?
11. Your sex life?
12. Your spouse‚ lover‚ or partner?
13. Your friends?
14. The emotional support you get from your family?
15. The emotional support you get from people other than your family?
16. Your ability to take care of family responsibilities?
17. How useful you are to others?
18. The amount of worries in your life?
19. Your neighborhood?
20. Your home‚ apartment‚ or place where you live?
21. Your job (if employed)?
22. Not ha‎ving a job (if unemployed‚ retired‚ or disabled)?
23. Your education?
24. How well you can take care of your financial needs?
25. The things you do for fun?
26. Your chances for a happy future?
27. Your peace of mind?
28. Your faith in God?
29. Your achievement of personal goals?
30. Your happiness in general?
31. Your life in general?
32. Your personal appearance?
33. Yourself in general?
Part II
 
1= Very Unimportant‚ 2=Moderately Unimportant‚ 3=Slightly Unimportant‚ 4=Slightly Important‚ 5=Moderately Important‚ 6=Very Important
HOW IMPORTANT TO YOU IS:
1. Your health?
2. Your health care?
3. ha‎ving no pain?
4. ha‎ving enough energy for everyday activities?
5. Taking care of yourself without help?
6. ha‎ving control over your life?
7. Living as long as you would like?
8. Your family’s health?
9. Your children?
10. Your family’s happiness?
11. Your sex life?
12. Your spouse‚ lover‚ or partner?
13. Your friends?
14. The emotional support you get from your family?
15. The emotional support you get from people other than your family?
16. Taking care of family responsibilities?
17. Being useful to others?
18. ha‎ving no worries?
19. Your neighborhood?
20. Your home‚ apartment‚ or place where you live?
21. Your job (if employed)?
22. ha‎ving a job (if unemployed‚ retired‚ or disabled)?
23. Your education?
24. Being able to take care of your financial needs?
25. Doing things for fun?
26. ha‎ving a happy future?
27. Peace of mind?
28. Your faith in God?
29. Achieving your personal goals?
30. Your happiness in general?
31. Being satisfied with life?
32. Your personal appearance?
33. Are you to yourself?
 
Health and Functioning Subscale‚ Social and Economic Subscale‚ Psychological/Spiritual Subscale and Family Subscale
 
This instrument can be found at: http://www.uic.edu/orgs/qli/
 
Carol Estwing Ferrans‚ PhD‚ FAAN
University of Illinois at Chicago
College of Nursing (M/C 802)
845 S. Damen Avenue – 7th floor
Chicago‚ IL 60612 U.S.A.
Phone (312) 996-8445
Fax (312) 996-4979

Ferrans‚ C. (1996). Development of a conceptual model of quality of life. Scholarly Inquiry for Nursing Practice: An International Journal‚ 10(3)‚ 293-304.

Ferrans‚ C.‚ & Powers‚ M. (1985). Quality of Life Index: Development and psychometric properties. Advances in Nursing Science‚ 8‚ 15-24.

Ferrans‚ C.‚ & Powers‚ M. (1992). Psychometric assessment of the Quality of Life Index. Research in Nursing and Health‚ 15‚ 29-38.

Ferrans‚ C. E. (1990). Development of a quality of life index for patients with cancer. Oncology Nursing Forum‚ 17(3)‚ 15-19.

Warnecke‚ R.‚ Ferrans‚ C.‚ Johnson‚ T.‚ et. al. (1996). Measuring quality of life in culturally diverse populations. Journal of the National Cancer Institute Monographs‚ 20‚ 29-38.

 

Rafiei.Narges‚ Sharifian Sani. Maryam‚ Rafiey. Hassan ‚ Behnampour. Nasser‚ Foroozesh‚ Kian.‚ (2010). Reliability and Validity of Persian Version of “Quality of Life Index”. J Mazandaran University Med Sci 2014; 24(116): 75-83 (Persian).