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Click ‘Get Form’ to open the vf 14 qol questionnaire in the editor.
Begin by entering your Patient Name, Date of Birth, and Date of Visit at the top of the form.
For each activity listed, assess your level of difficulty due to vision. Check the box that best describes your experience: 'None', 'A little', 'Moderate', 'Great', or 'Unable to do'.
If you do not perform an activity for reasons unrelated to vision, circle ‘n/a’ next to that activity.
Once all activities are assessed, sign at the bottom of the form where indicated as Patient Signature.
For office use, ensure that the number of checked boxes and factored amounts are calculated correctly for scoring.
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The lifestyle assessment questionnaire: An instrument to measure the impact of disability on the lives of children with cerebral palsy and their families. Child: Care, Health Development: 24(6), 473-486. Mackie, P. C., Jessen, E. C., Jarvis, S. N. (2003).
What is the vf14 score?
The Visual Function Index (VF-14) is a brief questionnaire designed to measure functional impairment on patients due to cataract. It consists of 18 questions covering 14 aspects of visual function affected by cataracts.
What is a visual function questionnaire?
2000 version of the VFQ (Visual Function Questionnaire). Measures the dimensions of self-reported vision-targeted health status that are most important for persons who have chronic eye diseases.
What is a QOL questionnaire?
A questionnaire is an instrument designed to assess some of the different aspects that define the quality of life (QOL) of cancer patients or survivors. The EORTC QLG Core Questionnaire (EORTC QLQ-C30) is a 30-item instrument designed to measure quality of life in all cancer patients.
What is the lifestyle assessment questionnaire?
The EuroQOL five dimensions questionnaire (EQ-5D) is one of the most commonly used generic questionnaires to measure health-related quality of life (HRQOL).
vf 14 questionnaire
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For both versions of the QOLS, individuals score items using a 1 (terrible) to 7 (delighted) point Likert scale. The QOLS has been studied in healthy populations, chronic illness groups, and adults of all ages [8, 1015].
Related links
Validation and Reliability of the VF-14 Questionnaire in a
The Quality of life and Vision Function Questionnaire (QOL-VFQ) was developed using classical test theory to assess outcomes of cataract surgery. The aim of
by AUA Staff 2010 Introduction. Benign prostatic hyperplasia (BPH) is a histologic diagnosis that refers to the proliferation of smooth muscle and epithelial cells within the
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