Your HEALTH: Please rate how well you are doing on a scale of 0 to 100 (0 represents “very well” and 100 represents “very poor” health), please record the number below.
In HAQ Disability Index, we are interested in learning how your illness affects your ability to function in daily life. Please feel free to add any comments on the back of this page. Are you able to: -Dress yourself, including tying shoelaces, and doing buttons? -Shampoo your hair? Are you able to: -Stand up from a straight chair?
The Health Assessment Questionnaire (HAQ) was originally developed in 1978 by James F. Fries, MD, and colleagues at Stanford University. It was one of the first self-report functional status (disability) measures and has become the dominant instrument in many disease areas, including arthritis.
The childhood HAQ has been adapted from the Stanford Health Assessment Questionnaire. The Stanford HAQ assesses four outcome dimensions: disability, discomfort and pain, drug side effects, and dollar costs.
HEALTH ASSESSMENT QUESTIONNAIRE (HAQ) Name PHN Date (yyyy / mm / dd) 1. For each category, please check the one response that best describes your abilities over the past week.
The construct/convergent validity, predictive validity and sensitivity to change have also been established in numerous observational studies and clinical trials. The HAQ Disability Index has also demonstrated a high level of convergent validity based on the pattern of correlations with other clinical and laboratory measures.
Health Assessment Questionnaire-Disability Index (HAQ-DI)
Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 427-1364
The Short HAQ has received the widest attention, the most frequent use, and is commonly identified in the literature as “the HAQ.” It consists of the HAQ Disability Index (HAQ-DI), HAQ Pain Scale, which are core items in the HAQ that have not been changed since 1983, and the Patient Global Visual Analog Scale (VAS).
Health Assessment Questionnaire (HAQ) - Mapi Research Trust
Access the Official Health Assessment Questionnaire (HAQ) by Fries JF, distributed by Mapi Research Trust | ePROVIDE, and up-to-date information on copyright, licensing, scoring, translations.
This questionnaire includes information not available from blood tests, X-rays, or any source other than you. Please try to answer each question, even if you do not think it is related to you at this time. Try to complete as much as you can yourself, but if you need help, please ask. There are no right or wrong answers.