HAQ-II (Health Assessment Questionnaire-II)

HAQ-II (Health Assessment Questionnaire-II)

Visual HAQ-II Scale

Total HAQ-II Score : 0

We are interested in learning how your illness affects your ability to function in daily life. Select the option which best describes your usual abilities OVER THE PAST WEEK. Are you able to:

1. Get on and off the toilet?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

2. Open car doors

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

3. Stand up from a straight chair?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

4. Walk outdoors on flat ground?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

5. Wait in a line for 15 minutes?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

6. Reach and get down a 5-pound object (such as a bag of sugar) from just above your head?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

7. Go up 2 or more flights of stairs?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

8. Do outside work (such as yard work)?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

9. Life heavy objects?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

10. Move heavy objects?

Without any difficulty (0)With some difficulty (1)With much difficulty (2)Unable (3)

11. How much PAIN have you had because of your illness in the PAST WEEK?

010000012345678910

12. How much of a PROBLEM has UNUSUAL FATIGUE or TIREDNESS been for you OVER THE PAST WEEK?

010000012345678910

13. How much of a PROBLEM has SLEEPING been for you OVER THE PAST WEEK

010000012345678910

14. How ACTIVE has your ARTHRITIS been in the LAST 24 HOURS ?

010000012345678910

15. When you get up in the MORNING do you feel STIFF ?

YesNo

If you answer YES, please write the number of minutes: OR number of hours: until you are as limber as you will be for the day

Bibliographic References (copyright belongs to the author/s of this instrument)

1. Lillegraven, S., & Kvien, T. K. (2007). Measuring disability and quality of life in established rheumatoid arthritis. Best practice & research Clinical rheumatology, 21(5), 827-840.

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