Home activities |
On most days, how much time do you generally spend on each of the following? |
• Sorting your medications |
• Preparing your medications |
• Taking your medications |
• Carrying out treatments |
• Testing or monitoring your health |
• Preparing special foods |
• Taking exercise/stretching |
Nonclinical activities |
In the last month how much time did you spend on each of the following? |
• Shopping for medicines, equipment or disposables, other necessary health items for yourself |
• Shopping for special foods you may need for yourself |
• Attending rehabilitation programs |
• Attending health education of self-management programs |
• Attending support groups such as cancer or diabetes groups |
• Looking for and reading health information |
Clinical activities |
In the last month how much time did you spend on each of the following? |
• Organizing appointments for yourself |
• Organizing travel to and from health-related appointments |
• Travelling to and from health-related appointments, including support groups |
• Sitting in waiting rooms |
• With the doctor or other health professional for consultation, advice, or treatment |
• Having blood tests, X-rays, or other tests |
• Having other medical treatments (for example, dialysis, chemotherapy, radiotherapy) |