Quantitative Assessment Questionnaire for Treatment Adherence, QAT-25 Test - the question form
Questions: 25 · 5 minutes
1. Your doctor has diagnosed you with a chronic illness. Is it important for you to know what signs and symptoms it may cause?
Not important at all
Almost not important
Rather not important than important
Rather important than not important
Quite important
Very important
2. A doctor has prescribed a medication that you need to take every day for many years. How difficult would it be for you to follow this recommendation?
Very difficult
Quite difficult
Rather difficult than not difficult
Rather not difficult than difficult
Hardly difficult
Not difficult at all
3. Your doctor has prescribed a medication that you need to take several times a day for many years. How difficult would it be for you to follow this recommendation?
Very difficult
Quite difficult
More difficult than not difficult
More not difficult than difficult
Almost not difficult
Not difficult at all
4. Your doctor has prescribed several medicines that you need to take every day for many years. How difficult would it be for you to follow this recommendation?
Very difficult
Fairly difficult
Rather difficult than not difficult
Rather not difficult than difficult
Almost not difficult
Not difficult at all
5. A doctor has asked you to record your symptoms every day for many years. How difficult would it be for you to follow this recommendation?
Very difficult
Quite difficult
Rather difficult than not difficult
Rather not difficult than difficult
Almost not difficult
Not difficult at all
6. A chronic illness has its symptoms. How important is it to you not to experience these symptoms?
Not important at all
Almost not important
Rather not important than important
Rather important than not important
Fairly important
Very important
7. If you are sexually active, how important is it for you to maintain your usual level of sexual activity?
Not at all important / not applicable (no sexual activity)
Hardly important
More not important than important
More important than not important
Fairly important
Very important
8. A chronic illness may require changes to your usual lifestyle. How difficult are such changes for you?
Very difficult
Quite difficult
Rather difficult than not difficult
Rather not difficult than difficult
Hardly difficult
Not difficult at all
9. Having a chronic illness requires changes to your usual diet. How difficult is this change for you?
Very difficult
Quite difficult
Rather difficult than not difficult
Rather not difficult than difficult
Hardly difficult
Not difficult at all
10. A chronic illness can lead to disability. How important is it to you to obtain or confirm disability status?
Not important at all
Almost not important
Rather not important than important
Rather important than not important
Quite important
Very important
11. How important is it for you to know your test results?
Not important at all
Almost unimportant
Rather unimportant than important
Rather important than unimportant
Fairly important
Very important
12. How important is it to you to believe in God?
Not at all important
Almost not important
Rather not important than important
Rather important than not important
Fairly important
Very important
13. Because of a chronic illness, you need to see a doctor regularly. How difficult is this regular medical follow-up for you?
Very difficult
Quite difficult
Rather difficult than not difficult
Rather not difficult than difficult
Hardly difficult
Not difficult at all
14. Medications can cause unpleasant sensations. How difficult would it be for you to tolerate such sensations?
Very difficult
Quite difficult
More difficult than not difficult
More not difficult than difficult
Hardly difficult
Not difficult at all
15. A chronic illness can limit your usual life, active leisure, and entertainment. How difficult is it for you to accept such limitations?
Very difficult
Quite difficult
Rather difficult than not difficult
Rather not difficult than difficult
Almost not difficult
Not difficult at all
16. A doctor has prescribed a medication that needs to be taken every day for many years. Would you follow this recommendation exactly?
Definitely would not
Most likely would not
More likely would not than would
More likely would than would not
Most likely would
Definitely would
17. A doctor has prescribed a medication that must be taken several times a day for many years. Would you follow this recommendation exactly?
No, definitely not
Most likely I would not
More likely not than yes
More likely yes than no
Most likely I would
Definitely yes
18. If your doctor prescribed several medicines that you would need to take every day for many years, would you follow this recommendation exactly?
Definitely would not
Most likely would not
More likely would not than would
More likely would than would not
Most likely would
Definitely would
19. Your doctor suggested that you record any symptoms every day for many years. Would you follow this recommendation exactly?
Definitely would not
Most likely would not
More likely would not than would
More likely would than would not
Most likely would
Definitely would
20. The doctor said that the prescribed medications may cause unpleasant sensations, including those you are already experiencing. Would you take these medications?
I would not take them under any circumstances
I would most likely not take them
I would be more likely not to take them than to take them
I would be more likely to take them than not to take them
I would most likely take them
I would definitely take them
21. If your doctor told you that the prescribed medicines could worsen your sex life, would you take them?
Would not take them under any circumstances
Most likely not to take them
More likely not to take them than to take them
More likely to take them than not
Most likely to take them
Definitely would take them
22. Your doctor said that because of your illness you need to change your usual lifestyle. Will you follow this recommendation exactly?
No, definitely not
Most likely I will not
More likely I will not than I will
More likely I will than I will not
Most likely I will
I definitely will
23. Your doctor has said that because of your illness you need to change your usual diet. Will you follow this recommendation exactly?
No, not at all
Most likely will not follow it
More likely not to follow it than to follow it
More likely to follow it than not
Most likely will follow it
Definitely will follow it
24. Your doctor has said that because of your illness you need to come for regular appointments. Will you follow this recommendation exactly?
Not at all
Most likely not
More likely not than yes
More likely yes than no
Most likely yes
Definitely yes
25. Your doctor said that because of your condition you need to have regular lab tests. Will you follow this recommendation exactly?
Under no circumstances will I
Most likely, I will not
Rather not than yes
Rather yes than no
Most likely, I will
I definitely will