Able to breath easily
Able to breath easily None of the time 0
Able to breath easily 1
Able to breath easily 2
Able to breath easily 3
Able to breath easily 4
Able to breath easily Sometimes 5
Able to breath easily 6
Able to breath easily 7
Able to breath easily 8
Able to breath easily 9
Able to breath easily All of the time 10
Able to enjoy food
Able to enjoy food None of the time 0
Able to enjoy food 1
Able to enjoy food 2
Able to enjoy food 3
Able to enjoy food 4
Able to enjoy food Sometimes 5
Able to enjoy food 6
Able to enjoy food 7
Able to enjoy food 8
Able to enjoy food 9
Able to enjoy food All of the time 10
Feeling rested
Feeling rested None of the time 0
Feeling rested 1
Feeling rested 2
Feeling rested 3
Feeling rested 4
Feeling rested Sometimes 5
Feeling rested 6
Feeling rested 7
Feeling rested 8
Feeling rested 9
Feeling rested All of the time 10
Have you had a good sleep
Have you had a good sleep None of the time 0
Have you had a good sleep 1
Have you had a good sleep 2
Have you had a good sleep 3
Have you had a good sleep 4
Have you had a good sleep Sometimes 5
Have you had a good sleep 6
Have you had a good sleep 7
Have you had a good sleep 8
Have you had a good sleep 9
Have you had a good sleep All of the time 10
Able to look after personal hygiene and use the toilet unaided
Able to look after personal hygiene and use the toilet unaided None of the time 0
Able to look after personal hygiene and use the toilet unaided 1
Able to look after personal hygiene and use the toilet unaided 2
Able to look after personal hygiene and use the toilet unaided 3
Able to look after personal hygiene and use the toilet unaided 4
Able to look after personal hygiene and use the toilet unaided Sometimes 5
Able to look after personal hygiene and use the toilet unaided 6
Able to look after personal hygiene and use the toilet unaided 7
Able to look after personal hygiene and use the toilet unaided 8
Able to look after personal hygiene and use the toilet unaided 9
Able to look after personal hygiene and use the toilet unaided All of the time 10
Able to communicate with family or friends
Able to communicate with family or friends None of the time 0
Able to communicate with family or friends 1
Able to communicate with family or friends 2
Able to communicate with family or friends 3
Able to communicate with family or friends 4
Able to communicate with family or friends Sometimes 5
Able to communicate with family or friends 6
Able to communicate with family or friends 7
Able to communicate with family or friends 8
Able to communicate with family or friends 9
Able to communicate with family or friends All of the time 10
Getting support from hospital doctors and nurses or home health staff
Getting support from hospital doctors and nurses or home health staff None of the time 0
Getting support from hospital doctors and nurses or home health staff 1
Getting support from hospital doctors and nurses or home health staff 2
Getting support from hospital doctors and nurses or home health staff 3
Getting support from hospital doctors and nurses or home health staff 4
Getting support from hospital doctors and nurses or home health staff Sometimes 5
Getting support from hospital doctors and nurses or home health staff 6
Getting support from hospital doctors and nurses or home health staff 7
Getting support from hospital doctors and nurses or home health staff 8
Getting support from hospital doctors and nurses or home health staff 9
Getting support from hospital doctors and nurses or home health staff All of the time 10
Do you feel able to return to work or do usual home activities
Do you feel able to return to work or do usual home activities None of the time 0
Do you feel able to return to work or do usual home activities 1
Do you feel able to return to work or do usual home activities 2
Do you feel able to return to work or do usual home activities 3
Do you feel able to return to work or do usual home activities 4
Do you feel able to return to work or do usual home activities Sometimes 5
Do you feel able to return to work or do usual home activities 6
Do you feel able to return to work or do usual home activities 7
Do you feel able to return to work or do usual home activities 8
Do you feel able to return to work or do usual home activities 9
Do you feel able to return to work or do usual home activities All of the time 10
Feeling comfortable and in control
Feeling comfortable and in control None of the time 0
Feeling comfortable and in control 1
Feeling comfortable and in control 2
Feeling comfortable and in control 3
Feeling comfortable and in control 4
Feeling comfortable and in control Sometimes 5
Feeling comfortable and in control 6
Feeling comfortable and in control 7
Feeling comfortable and in control 8
Feeling comfortable and in control 9
Feeling comfortable and in control All of the time 10
Having a feeling of general well-being
Having a feeling of general well-being None of the time 0
Having a feeling of general well-being 1
Having a feeling of general well-being 2
Having a feeling of general well-being 3
Having a feeling of general well-being 4
Having a feeling of general well-being Sometimes 5
Having a feeling of general well-being 6
Having a feeling of general well-being 7
Having a feeling of general well-being 8
Having a feeling of general well-being 9
Having a feeling of general well-being All of the time 10