Subscale | Item |
---|---|
Global QOL | How would you rate your QOL? |
Symptoms | 1. My symptoms are adequately controlled |
 | 2. I feel sick all the time |
 | 3. I accept my symptoms as a fact of life |
 | 4. I am satisfied with current control of my symptoms |
 | 5. Despite physical discomfort, in general I can enjoy my days OR Physical discomfort overshadows any opportunity for enjoyment |
Function | 6. I am still able to attend to most of my personal needs by myself OR I am dependent on others for my personal care |
 | 7. I am still able to do many of the things I like to do OR I am no longer able to do many of the things I like to do |
 | 8. I am satisfied with my ability to take care of my basic needs |
 | 9. I accept the fact that I cannot do many of the things I used to do OR I am disappointed that I cannot do many of the things I used to do |
 | 10. My contentment with life depends upon being active and being independent in my personal care |
Interpersonal | 11. I have recently been able to say important things to the people close to me |
 | 12. I feel closer to others in my life now than I did before my illness OR I feel increasingly distant from others in my life |
 | 13. In general, these days I am satisfied with relationships with family and friends |
 | 14. At present, I spend as much time as I want to with family and friends |
 | 15. It is important to me to have close personal relationships |
Well being | 16. My affairs are in order; I could die today with a clear mind OR My affairs are not in order; I am worried that many things are unresolved |
 | 17. I feel generally at peace and prepared to leave this life OR I am unsettled and unprepared to leave this life |
 | 18. I am more satisfied with myself as a person now than I was before my illness |
 | 19. The longer I am ill, the more I worry about things 'getting out of control' OR The longer I am ill, the more comfortable I am with the idea of 'letting go' |
 | 20. It is important to me to be at peace with myself |
Transcendent | 21. I have a greater sense of connection to all things now than I did before my illness OR I feel more disconnected from all things now than I did before my illness |
 | 22. I have a better sense of meaning in my life now than I have had in the past OR I have less of a sense of meaning in my life now than I have had in the past |
 | 23. As the end of my life approaches, I am comfortable with the thought of my own death OR As the end of my life approaches, I am uneasy with the thought of my own death |
 | 24. Life has become more precious to me; every day is a gift OR Life has lost all value for me; every day is a burden |
 | 25. It is important to me to feel that my life has meaning |