Table 2.
Item | Very happy | Somewhat happy | Not sure | Somewhat unhappy | Very unhappy | |
---|---|---|---|---|---|---|
1 | How happy is the child with how he/she looks? | 1 | 2 | 3 | 4 | 5 |
2 | How happy is the child with clothes his/her can wear? | 1 | 2 | 3 | 4 | 5 |
3 | How happy is the child with his/her ability to do the same things his/her friends do? | 1 | 2 | 3 | 4 | 5 |
4 | How happy is the child with his/her health in general? | 1 | 2 | 3 | 4 | 5 |
Easy | A little hard | Very hard | Cannot do at all | |||
5 | Can the child stand while washing his/her hand and face at the sink? | 1 | 2 | 3 | 4 | |
6 | Can the child sit in a regular chair without holding on? | 1 | 2 | 3 | 4 | |
7 | Can the child get in and out the toilet? | 1 | 2 | 3 | 4 | |
8 | Can the child get on and off the bus? | 1 | 2 | 3 | 4 | |
9 | Can the child bend over from standing position and pick up something off the floor? | 1 | 2 | 3 | 4 | |
10 | Can the child walk the required distance? | 1 | 2 | 3 | 4 | |
11 | Can the child run short distance? | 1 | 2 | 3 | 4 | |
12 | Can the child use the bicycle or tricycle? | 1 | 2 | 3 | 4 | |
13 | Can the child climb three flights of stairs? | 1 | 2 | 3 | 4 | |
14 | Can the child participate in competitive level sports with other children the same age? | 1 | 2 | 3 | 4 | |
15 | How much pain has your child had during the last week? | None 1 | Very Mild 2 | Mild 3 | Moderate 4 | Severe 5 |
16 | During the last week, how much did pain interfere with your child's normal activities (at home, outside and school)? | Never 1 | Sometimes 2 | Half the time 3 | Often 4 | Extremely 5 |
17 | How often does your child need help from another person for sitting and standing? | Never 1 | Sometimes 2 | Half the time 3 | Often 4 | All the time 5 |
18 | How often does his/her need help from another person walking or climbing? | Never 1 | Sometimes 2 | Half the time 3 | Often 4 | All the time 5 |
19 | How would you feel if your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now? | Very satisfied 1 | Somewhat satisfied 2 | Neutral 3 | Somewhat dissatisfied 4 | Very dissatisfied 5 |
Score range: Best score, 19; Worst score, 85; Excellent, 19–36; Good, 37–52; Fair, 53–69; Poor, 70–85