Stroke Specific Quality of Life Scale (SS-QOL)

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Stroke Specific Quality of Life Scale (SS-QOL)

Scoring: each item shall be scored with the following key
Total help - Couldn't do it at all - Strongly agree	1
A lot of help - A lot of trouble - Moderately agree	2
Some help - Some trouble - Neither agree nor disagree	3
A little help - A little trouble - Moderately disagree	4
No help needed - No trouble at all - Strongly disagree	5

ITEM	SCORE
Energy	___
1. I felt tired most of the time.	___
2. I had to stop and rest during the day.	___
3. I was too tired to do what I wanted to do.	___
Family Roles
1. I didn't join in activities just for fun with my family.	___
2. I felt I was a burden to my family.	___
3. My physical condition interfered with my personal life.	___
Language
1. Did you have trouble speaking? For example, get stuck, stutter, stammer, or slur your words?	___
2. Did you have trouble speaking clearly enough to use the telephone?	___
3. Did other people have trouble in understanding what you said?	___
4. Did you have trouble finding the word you wanted to say?	___
5. Did you have to repeat yourself so others could understand you?	___
Mobility
1. Did you have trouble walking? (If patient can't walk, go to question 4 and score questions 2-3 as 1.)	___
2. Did you lose your balance when bending over to or reaching for something?	___
3. Did you have trouble climbing stairs?	___
4. Did you have to stop and rest more than you would like when walking or using a wheelchair?	___
5. Did you have trouble with standing?	___
6. Did you have trouble getting out of a chair?	___
Mood
1. I was discouraged about my future.	___
2. I wasn't interested in other people or activities.	___
3. I felt withdrawn from other people.	___
4. I had little confidence in myself.	___
5. I was not interested in food.	___
Personality
1. I was irritable.	___
2. I was inpatient with others.	___
3. My personailty has changed.	___
Self Care
1. Did you need help preparing food?	___
2. Did you need help eating? For example, cutting food or preparing food?	___
3. Did you need help getting dressed? For example, putting on socks or shoes, buttoning buttons, or zipping?	___
4. Did you need help taking a bath or a shower?	___
5. Did you need help to use the toilet?	___
Social Roles
1. I didn't go out as often as I would like.	___
2. I did my hobbies and recreation for shorter periods of time than I would like.	___
3. I didn't see as many of my friends as I would like.	___
4. I had sex less often than I would like.	___
5. My physical condition interfered with my social life.	___
Thinking
1. It was hard for me to concentrate.	___
2. I had trouble remebering things.	___
3. I had to write things down to remember them.	___
Upper Extremity Function
1. Did you have trouble writing or typing?	___
2. Did you have trouble putting on socks?	___
3. Did you have trouble buttoning buttons?	___
4. Did you have trouble zipping a zipper?	___
5. Did you have troouble opening a jar?	___
Vision
1. Did you have trouble seeing the television well enough to enjoy a show?	___
2. Did you have trouble reaching things because of poor eyesight?	___
3. Did you have trouble seeing things off to one side?	___
Work / Productivity
1. Did you have trouble doing daily work around the house?	___
2. Did you have trouble finishing jobs that you started?	___
3. Did you have trouble doing the work you used to do?	___
TOTAL SCORE:	___

Reference

Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale.
Stroke 1999 Jul;30(7):1362-9.

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