Original | Long-term care adaptation | Short names |
---|---|---|
How do you feel about your physical health? | How do you feel about your physical health? | Physical health |
How do you feel about your energy level? | How do you feel about your energy level? | Energy |
How has your mood been lately? | How has your mood been lately? | Mood |
How about your living situations? How do you feel about the place you live now? | How about your living situations? How do you feel about the place you live now? | Living situation |
How about your memory? | How about your memory? | Memory |
How about your family and your relationship with family members? | How about your family and your relationship with family members? | Family relationship |
How do you feel about your marriage? | Â | Marriage |
 | How do you feel about your relationship with people who work here? | Relationship with staff |
How would you describe your current relationship with your friends? | How would you describe your current relationship with your friends? | Friendship |
How do you feel about yourself when you think of yourself overall and all the different things about you? | How do you feel about yourself when you think of yourself overall and all the different things about you? | Self-overall |
 | How do you feel about your ability to keep busy? | Keep busy |
How about your ability to do fun things that you enjoy? | How about your ability to do fun things? | Do fun things |
 | How do you feel about your ability to take care of yourself? | Take care of self |
 | How do you feel about your ability to live with others? | Live with other |
 | How about your ability to make choice in your life? | Make choice |
How do you feel about your current situation with money, your financial situations? | Â | Financial situation |
When you think of your life overall, everything together, how do you feel about your life | When you think of your life overall, everything together, how do you feel about your life? | Life overall |