EventHandler by UbiDog Productions

UbiDog Productions

EventHandler
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Quality of Life Scale

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Please read each item indicate which answer best describes how satisfied you are at this time. Please answer each item even if you do not currently participate in an activity or have a relationship. You can be satisfied or dissatisfied with not doing the activity or having the relationship.

You should use your mouse or TAB key to move from field to field within the form. Some browsers may cause the form to be submitted prematurely if you use the ENTER key.

Name:

1. Material comforts, home, food conveniences, financial security
2. Health- being physically fit and vigorous
3. Relationships with parents, siblings & other relatives- communicating, visiting, helping
4. Having and rearing children
5. Close relationships with spouse or significant other
6. Close friends
7. Helping and encouraging others, volunteering, giving advice
8. Participating in organizations and public affairs
9. Learning- attending school, improving understanding, getting additional knowledge
10. Understanding yourself- knowing your assets and limitations,- knowing what life is about
11. Work- job or in home
12. Expressing yourself creatively
13. Socializing- meeting other people, doing things, parties, etc.
14. Reading, listening to music, or observing entertainment
15. Participating in active recreation
16. Independence, doing for yourself

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