© EuroQol Research Foundation. EQ-5D™ is a trade mark of the EuroQol Research Foundation. UK (English) v1.0
We have built a tool that helps healthcare teams understand patient health.
💬 Enrolment SMS as shown below 👇:
Once the patient has accessed the link, they will be prompted to enter their date of birth to access the questionnaire. 📆
Questions:
1. MOBILITY - Please select the ONE box that best describes your health TODAY?
I have no problems 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
2. SELF-CARE Please select the ONE box that best describes your health TODAY?
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
3. USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities)
Please select the ONE box that best describes your health TODAY?
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
4. PAIN / DISCOMFORT
Please select the ONE box that best describes your health TODAY?
I have no pain or discomfort
I have slight pain or discomfort
I have moderate pain or discomfort
OI have severe pain or discomfort
I have extreme pain or discomfort
5. ANXIETY / DEPRESSION
Please select the ONE box that best describes your health TODAY?
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
6. We would like to know how good or bad your health is TODAY.
You will see a scale number from 0 to 100.
100 means the best health you can imagine. 0 means the worst health you can imagine
Please enter a number to indicate how your health is TODAY.
Patient responds with a number between 0 to 100.
The patient will be displayed a summary of their answers to review and then submit.
The patient will be thanked for submitting their answers and be given advice. 👇
"Thanks for submitting your answers. Your healthcare team will review this and will be in touch if required."
Response:
The patient's response will enter the EQ-5D-5L team within the inbox.
Each patient response is displayed alongside the full question, with the corresponding score next to it in brackets.
The final result can be found below the question answers, alongside the reference guide provided.
If you have any other questions at all, please chat with our support team by clicking the green message icon in the bottom right 👉