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OPTION B: DEMQOL PROXY - completed by carer
For all of the questions I’m going to ask you I want you to think about the last week. First I’m going to ask you about (your relative’s) feelings. In the last week, would you say that (your relative) has felt…
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Not applicable
Not at all
A little
Quite a bit
A lot
1. Cheerful?
1. Cheerful? - Not applicable
1. Cheerful? - Not at all
1. Cheerful? - A little
1. Cheerful? - Quite a bit
1. Cheerful? - A lot
2. Worried or anxious?
2. Worried or anxious? - Not applicable
2. Worried or anxious? - Not at all
2. Worried or anxious? - A little
2. Worried or anxious? - Quite a bit
2. Worried or anxious? - A lot
3. Frustrated?
3. Frustrated? - Not applicable
3. Frustrated? - Not at all
3. Frustrated? - A little
3. Frustrated? - Quite a bit
3. Frustrated? - A lot
4. Full Of Energy?
4. Full Of Energy? - Not applicable
4. Full Of Energy? - Not at all
4. Full Of Energy? - A little
4. Full Of Energy? - Quite a bit
4. Full Of Energy? - A lot
5. Sad?
5. Sad? - Not applicable
5. Sad? - Not at all
5. Sad? - A little
5. Sad? - Quite a bit
5. Sad? - A lot
6. Content?
6. Content? - Not applicable
6. Content? - Not at all
6. Content? - A little
6. Content? - Quite a bit
6. Content? - A lot
7. Distressed?
7. Distressed? - Not applicable
7. Distressed? - Not at all
7. Distressed? - A little
7. Distressed? - Quite a bit
7. Distressed? - A lot
8. Lively?
8. Lively? - Not applicable
8. Lively? - Not at all
8. Lively? - A little
8. Lively? - Quite a bit
8. Lively? - A lot
9. Irritable?
9. Irritable? - Not applicable
9. Irritable? - Not at all
9. Irritable? - A little
9. Irritable? - Quite a bit
9. Irritable? - A lot
10. Fed-Up?
10. Fed-Up? - Not applicable
10. Fed-Up? - Not at all
10. Fed-Up? - A little
10. Fed-Up? - Quite a bit
10. Fed-Up? - A lot
11. That He/she Has Things To Look Forward To?
11. That He/she Has Things To Look Forward To? - Not applicable
11. That He/she Has Things To Look Forward To? - Not at all
11. That He/she Has Things To Look Forward To? - A little
11. That He/she Has Things To Look Forward To? - Quite a bit
11. That He/she Has Things To Look Forward To? - A lot
