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WHODAS 2.0
Think back over the past 30 days and answer these questions, thinking about how much difficulty you
had doing the following activities.
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What is your name?
*
Your answer
Understanding and communicating
D1.1 Concentrating on doing something for ten minutes?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D1.2 Remembering to do important things?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D1.3 Analysing and finding solutions to problems in day-to-day life?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D1.4 Learning a new task, for example, learning how to get to a new place?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D1.5 Generally understanding what people say?
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0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D1.6 Starting and maintaining a conversation?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
Getting around
D2.1 Standing for long periods such as 30 minutes?
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0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D2.2 Standing up from sitting down?
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0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D2.3 Moving around inside your home?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D2.4 Getting out of your home?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D2.5 Walking a long distance such as a kilometre [or equivalent]?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
Self care
D3.1 Washing your whole body?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D3.2 Getting dressed?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D3.3 Eating?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D3.4 Staying by yourself for a few days?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
Getting on with people
D4.1 Dealing with people you do not know?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D4.2 Maintaining a friendship?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D4.3 Getting along with people who are close to you?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D4.4 Making new friends?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D4.5 Sexual activities?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
Life activities
D5.1 Taking care of your household responsibilities?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.2 Doing most important household tasks well?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.3 Getting all the household work done that you needed to do?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.4 Getting your household work done as quickly as needed?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.5 Your day-to-day work/school?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.6 Doing your most important work/school tasks well?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.7 Getting all the work done that you need to do?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D5.8 Getting your work done as quickly as needed?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
Participation in society
D6.1 How much of a problem did you have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.2 How much of a problem did you have because of barriers or hindrances in the world around you?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.3 How much of a problem did you have living with dignity because of the attitudes and actions of others?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.4 How much time did you spend on your health condition, or its consequences?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.5 How much have you been emotionally affected by your health condition?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.6 How much has your health been a drain on the financial resources of you or your family?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.7 How much of a problem did your family have because of your health problems?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
D6.8 How much of a problem did you have in doing things by yourself for relaxation or pleasure?
*
0 No difficulty
1 Mild difficulty
2 Moderate difficulty
3 Severe difficulty
4 Extreme difficulty, or cannot do
H1 Overall, in the past 30 days, how many days were these difficulties present?
*
Your answer
H2 In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?
*
Your answer
H3 In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?
*
Your answer
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