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Welcome to Our WHODAS 2.0 Form (36-Item Version) Page!

We are committed to providing comprehensive tools for your health assessment. The WHODAS 2.0 Form (36-Item Version) is a versatile instrument designed to measure health and disability across various domains. By completing this form, you'll gain detailed insights into your functioning and well-being, helping you and your healthcare provider to better understand and address your needs.

WHODAS 2.0 Form (36-Item Version)

World Health Organization Disability Assessment Schedule 2.0 36-item version, self-administrered

The questionnaire asks about difficulties due to health/mental health conditions. Health conditions include diseases or illness, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the past 30 days and answer these questions thinking about how much difficulty you had doing the following activities. For each question, please mark "X" on only one response.

1. Cognition: Understanding & Communicating

1.1 - Concentrating on doing something for ten minutes?
1.2 - Remembering to do important things?
1.3 - Analyzing and finding solutions to problems in day-to day life?
1.4 - Learning a new task, for example, learning how to get to a new place?
1.5 - Generally understanding what people say?
1.6 - Starting and maintaining a conversation?

2 Mobility: Moving & Getting Around

2.1 - Standing for long periods such as 30 minutes?
2.2 - Standing up from sitting down?
2.3 - Moving around inside your home?
2.4 - Getting out of your home?
2.5 - Walking a long distance such as a kilometer (or equivalent)?

3. Self-Care: Attending to One’s Hygiene, Dressing, Eating & Staying Alone

3.1 - Washing your whole body?
3.2 - Getting dressed? *
3.3 - Eating?
3.4 - Staying by yourself for a few days?

4. Getting Along: Interacting with Other People

4.1 - Dealing with people you do not know?
4.2 - Maintaining a friendship?
4.3 - Getting along with people who are close to you?
4.4 - Making new friends?
4.5 - Sexual activities? *

5. Life Activities: Domestic Responsibilities, Leisure, Work & School

5.1 - Household Activities

5.1.1 - Taking care of your household responsibilities?
5.1.2 - Doing most important household tasks well?
5.1.3 - Getting all the household work done that you needed to do?
5.1.4 - Getting your household work done as quickly as needed?

5.2: Work or School Activities

5.2.1 - Your day-to-day work/school?
5.2.2 - Doing your most important work/school tasks well?
5.2.3 - Getting all the work done that you need to do?
5.2.4 - Getting your work done as quickly as needed?

6. Participation: Joining in Community Activities, Participation in Society

6.1 - Joining in community activities (e.g., festivities, religious, or other activities) in the same way as others?
6.2 - Barriers or hindrances in the world around you? *
6.3 - Living with dignity due to the attitudes and actions of others?
6.4 - How much time did you spend on your health condition or its consequences?
6.5 - How much have you been emotionally affected by your health condition?
6.6 - How much has your health been a drain on the financial resources of you or your family? *
6.7 - How much of a problem did your family have because of your health problems?
6.8 - Doing things by yourself for relaxation or pleasure?
Birthday
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