WHOQOL-BREF Quality of Life Assessment

This form asks how you feel about your quality of life, health, and other areas of life. Please think about the last two weeks when answering.

This online form preserves the standard WHOQOL-BREF item order and scoring logic. Higher transformed domain scores indicate higher reported quality of life. This form is not a diagnostic tool.

Patient Information

Patient name

Date of birth

Patient email

Date completed

Gender

Diagnosis / reason for care

Instructions

Please answer every question. If you are unsure which response to give, choose the one that feels most appropriate. Often, your first response is the best answer.

Keep in mind your standards, hopes, pleasures, and concerns. Please think about your life over the last two weeks.

Additional Notes

Did someone help you complete this form?

Comments about the assessment or anything you want your care team to know

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Results

Interpretation note: WHOQOL-BREF does not provide a single total score. Domain scores are reported separately. Higher domain scores indicate better reported quality of life in that domain.