Children's Quality of Life Questionnaire, PedsQL Test - the question form
Questions: 23 · 5 minutes
Select Questionnaire Type
Male form
Female form
1. It was hard for me to walk more than one bus stop.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
2. It was hard for me to run.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
3. It was hard for me to play sports or exercise.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
4. It was hard for me to lift heavy objects.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
5. It was hard for me to take a bath or shower by myself.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
6. It was hard for me to do things around the house.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
7. I have aches or pains.
Never
Almost never
Sometimes
Often
Almost always
8. I had low energy.
Never
Almost never
Sometimes
Often
Almost always
9. Feeling afraid or scared.
Never
Almost never
Sometimes
Often
Almost always
10. I felt sad.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
11. I felt angry.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
12. I had trouble sleeping.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
13. I worried about what might happen.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
14. It was hard for me to get along with other children.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
15. Other children did not want to be friends with me.
Never
Almost never
Sometimes
Often
Almost always
16. Other children teased me.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
17. I could not do things that other children my age could do.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
18. It was hard for me to keep up with other children when playing with them.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
19. It was hard for me to pay attention in class.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
20. I was forgetful.
Never
Almost never
Sometimes
Often
Almost always
21. It was hard for me to keep up with my schoolwork.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
22. I missed school because I was not feeling well.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
23. I missed school because I had to go to the doctor or the hospital.
Never
Almost never
Sometimes
Often
Almost always
1. It was hard for me to walk more than one bus stop.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
2. It was hard for me to run.
Never
Almost never
Sometimes
Often
Almost always
3. It is hard for me to play sports or exercise.
Never
Almost never
Sometimes
Often
Almost always
4. It has been hard for me to lift heavy things.
Never
Almost never
Sometimes
Often
Almost always
5. It was hard for me to take a bath or shower by myself.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
6. It was hard for me to do chores around the house.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
7. I have hurt or ached.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
8. I had low energy.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
9. I felt afraid.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
10. I felt sad.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
11. I felt angry.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
12. I had trouble sleeping.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
13. I worried about what might happen.
Never
Almost never
Sometimes
Often
Almost always
14. It was hard for me to get along with other children.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
15. Other children did not want to be friends with me.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
16. Other children teased me.
1 - Never
2 - Almost never
3 - Sometimes
4 - Often
5 - Almost always
17. I had trouble doing the same things as other kids my age.
Never
Almost never
Sometimes
Often
Almost always
18. It was hard for me to feel equal to other children when playing with them.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
19. It was hard for me to pay attention in class.
Never
Almost never
Sometimes
Often
Almost always
20. I have been forgetful.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always
21. It was hard for me to keep up with my schoolwork.
Never
Almost never
Sometimes
Often
Almost always
22. I missed school because I was not feeling well.
Never
Almost never
Sometimes
Often
Almost always
23. I missed school because I had to go to the doctor or the hospital.
1 – Never
2 – Almost never
3 – Sometimes
4 – Often
5 – Almost always