Chart 2. – Topics covered by the self-evaluation of health-related quality of life instrument.

Self-evaluation of:
Degree of limitation caused by the condition when performing activities of daily living
Degree of limitation in functional capacity to perform light, moderate, and intense activities of daily living
General health status
Degree of pain interference on daily life
Degree of general health interference (physical and mental) with interpersonal relationships
Degree of vitality in daily life (degree of involvement and motivation with life)
Degree of limitation caused by emotional or cognitive state when performing activities of daily living
Predominant mood at specified time