AQoL-6D Please tick the statement that best describes how you feel Thinking about your mobility, including using any aids or equipment today: such as wheelchairs, frames, sticks: □ How much help do you need with jobs around the house I am very mobile (e.g., cooking, cleaning the house or washing clothes): □ I have no difficulty with mobility □ I can do all these tasks very quickly and efficiently without any help I have some difficulty with mobility (for example, going uphill) □ □ I can do these tasks relatively easily without help I have difficulty with mobility. I can go short distances only I can do these tasks only very slowly without help □ □ I have a lot of difficulty with mobility. I need someone to help me I cannot do most of these tasks unless I have help □ □ I am bedridden □ □ I can do none of these tasks by myself Thinking about dressing, washing yourself, eating or looking after Thinking about how easy or difficult it is for you to get around by your appearance: yourself outside your house (e.g., shopping, visiting): □ These tasks are very easy for me □ Getting around is enjoyable and easy □ I have no real difficulty in carrying out these tasks □ I have no difficulty getting around outside my house □ I find some of these tasks difficult, but I manage to do them on my own □ A little difficulty □ Many of these tasks are difficult, and I need help to do them □ Moderate difficulty □ I cannot do these tasks by myself at all □ A lot of difficulty □ I cannot get around unless somebody is there to help me
AQoL-6D Please tick the statement that best describes how you feel today: How much help do you need with jobs around the house (e.g., cooking, cleaning the house or washing clothes): I can do all these tasks very quickly and efficiently without any help □ I can do these tasks relatively easily without help □ I can do these tasks only very slowly without help □ I cannot do most of these tasks unless I have help □ I can do none of these tasks by myself □ Thinking about how easy or difficult it is for you to get around by yourself outside your house (e.g., shopping, visiting): Getting around is enjoyable and easy □ I have no difficulty getting around outside my house □ A little difficulty □ Moderate difficulty □ A lot of difficulty □ I cannot get around unless somebody is there to help me □ Thinking about your mobility, including using any aids or equipment such as wheelchairs, frames, sticks: I am very mobile □ I have no difficulty with mobility □ I have some difficulty with mobility (for example, going uphill) □ I have difficulty with mobility. I can go short distances only □ I have a lot of difficulty with mobility. I need someone to help me □ I am bedridden □ Thinking about dressing, washing yourself, eating or looking after your appearance: These tasks are very easy for me □ I have no real difficulty in carrying out these tasks □ I find some of these tasks difficult, but I manage to do them on my own □ Many of these tasks are difficult, and I need help to do them □ I cannot do these tasks by myself at all □
Honours2015LMcMillanThesis.docx