Table 1.

Domains and Measures in the Geriatric Assessment Questionnaire

Domain	Measure	Description
Functional status	Activities of Daily Living (subscale of MOS Physical Health)15	Ten items measuring the limitations in a wide range of physical function (from bathing/dressing to vigorous activities such as running)
	Instrumental Activities of Daily Living (subscale of the OARS)16	Seven items measuring the ability to complete activities required to maintain independence in the community (such as shopping, meal preparation, making telephone calls, money management)
	Karnofsky self-reported performance rating scale17	One item global indicator of patient function determined by patient self-report ranging from “normal” to “severely disabled”
	Number of falls in the last 6 months18	One item indicating number of times fallen in the last 6 months
Comorbidity	Physical Health Section (subscale of the OARS)16	List of 13 comorbid illnesses and the degree to which they impair daily activities, as well as a rating of eyesight and hearing
Psychological	Distress Thermometer19	One item measuring level of distress on a scale of 0 to 10
Social support	MOS Social Support Survey: Emotional/Information and Tangible Subscales20	Twelve items measuring the perceived availability of social support
Nutrition	Body mass index21	One item: weight/(height)2
	Percent unintentional weight loss in last 6 months22,23	One item: (unintentional weight lost in last 6 months/baseline body weight) × 100

Abbreviations: MOS, Medical Outcomes Study; OARS, Older American Resources and Services.