|
Old 01 |
Impairments to senses affect daily life |
|
Old 02 |
Rate sensory functioning |
I: Sensory abilities |
Old 10 |
Loss of sensory abilities affect participation in activities |
|
Old 20 |
Problems with sensory functioning affect ability to interact |
|
Old 03 |
Freedom to make own decisions |
|
Old 04 |
Feel in control of your future |
II: Autonomy |
Old 05 |
Able to do things you’d like to |
|
Old 11 |
People around you are respectful of your freedom |
|
Old 12 |
Happy with things to look forward to |
|
Old 13 |
Satisfied with opportunities to continue achieving |
III: Past, present and future activities |
Old 15 |
Received the recognition you deserve in life |
|
Old 19 |
Satisfied with what you’ve achieved in life |
|
Old 14 |
Satisfied with the way you use your time |
|
Old 16 |
Satisfied with level of activity |
IV: Social participation |
Old 17 |
Have enough to do each day |
|
Old 18 |
Satisfied with opportunity to participate in community |
|
Old 06 |
Concerned about the way you will die |
V: Death and dying |
Old 07 |
Afraid of not being able to control death |
|
Old 08 |
Scared of dying |
|
Old 09 |
Fear pain before death |
|
Old 21 |
Feel a sense of companionship in life |
|
Old 22 |
Experience love in your life |
VI: Intimacy |
Old 23 |
Opportunities to love |
|
Old 24 |
Opportunities to be loved |