EQ-5D-5L

Measures health-related quality of life.

What is the EQ-5D-5L?

General Information

Scoring:

Higher is Better

Time to Complete:

5 minutes

Pages:

Questions:

Licensed:

Clinical Information

Medical Specialties:

rheumatology pain medicine general practice

Anatomic Areas:

general

Indications:

General health status

Instructions

Please answer all questions to the best of your ability.

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EQ-5D-5L

Measures health-related quality of life.

Instructions:

Please answer all questions to the best of your ability.

Mobility

MOBILITY

I have no problems in walking about

I have slight problems in walking about

I have moderate problems in walking about

I have severe problems in walking about

I am unable to walk about

Self-Care

SELF-CARE

I have no problems washing or dressing myself

I have slight problems washing or dressing myself

I have moderate problems washing or dressing myself

I have severe problems washing or dressing myself

I am unable to wash or dress myself

Usual Activities

USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities)

I have no problems doing my usual activities

I have slight problems doing my usual activities

I have moderate problems doing my usual activities

I have severe problems doing my usual activities

I am unable to do my usual activities

Pain / Discomfort

PAIN / DISCOMFORT

I have no pain or discomfort

I have slight pain or discomfort

I have moderate pain or discomfort

I have severe pain or discomfort

I have extreme pain or discomfort

Anxiety / Depression

ANXIETY / DEPRESSION

I am not anxious or depressed

I am slightly anxious or depressed

I am moderately anxious or depressed

I am severely anxious or depressed

I am extremely anxious or depressed

Patient Watch Form - 10/31/2025

Administration Instructions

Please answer all questions to the best of your ability.

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