Illness Social Significance Self-Assessment Questionnaire Test

Understand how illness is affecting your social life and status in about 2 minutes. A 10 item score makes it easy to spot hidden challenges and track change over time.
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Questions102 minutes
Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.
08:30
October 2, 2025
October 2, 2025
Material has been updated
22,995 views
1,514 completions
1,325 likes
Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
4/5
Financial Loss (FL)
Measures perceived financial losses and material impact associated with the illness.
Low impact
Moderate impact
High impact
01Low impact23Moderate impact45High impact
A score of 4 suggests the illness is perceived as having a high material impact, with notable financial strain or losses.
example score
3/5
Development of Feelings of Inferiority (DoFoI)
Measures how strongly the person feels personal inferiority related to their illness in social contexts.
Low
Moderate
High
01Low23Moderate45High
A score of 3 falls in the Moderate range, suggesting a noticeable but not extreme sense of personal inadequacy linked to the illness.
example score
2/5
Reduced Physical Attractiveness (RPA)
Assesses how strongly a person feels their illness has reduced their appearance and physical attractiveness.
Low impact
Moderate impact
High impact
01Low impact23Moderate impact45High impact
A score of 2 suggests a moderate perceived impact of illness on physical attractiveness, with some associated discomfort but not severe distress.
example score
4/5
Inability to Pursue a Career (ItPaC)
Assesses how strongly illness-related limitations are perceived to restrict career development and professional advancement.
Low impact
Moderate impact
High impact
01Low impact23Moderate impact45High impact
A score of 4 indicates a high perceived impact of the illness on career prospects and professional self-identity.
example score
3/5
Leisure Time Restriction (LTR)
Measures how much illness restricts leisure activities and available free time.
Low limitation
Moderate limitation
High limitation
01Low limitation23Moderate limitation45High limitation
A score of 3 indicates a moderate level of illness-related restriction of free time, with noticeable but not maximal impact on relaxation and personal interests.
example score
4/5
Deterioration of Workplace Relationships (DoWR)
Measures how much the illness is perceived to worsen professional relationships and the workplace atmosphere.
Minimal impact
Noticeable impact
Strong impact
01Minimal impact23Noticeable impact45Strong impact
A score of 4 indicates a strong perceived negative impact of the illness on relationships at work and the overall workplace climate.
example score
3/5
Withdrawal From Pleasures (WFP)
Measures how much illness limits a person’s ability to enjoy their usual pleasures and everyday joys.
Minimal limits
Noticeable limits
Strong limits
01Minimal limits23Noticeable limits45Strong limits
A score of 3 indicates noticeable limitations in customary pleasures, suggesting a meaningful reduction in perceived day-to-day enjoyment.
example score
3/5
Deterioration of Family Relationships (DoFR)
Measures the extent to which illness is perceived to strain or disrupt relationships with family members.
Minimal impact
Moderate difficulties
Severe difficulties
01Minimal impact23Moderate difficulties45Severe difficulties
A score of 3 indicates a moderate level of illness-related difficulties in family relationships.
example score
2/5
Perceived Loss of Strength and Energy (PLoSaE)
Measures how strongly the illness is associated with a subjective loss of vitality and energy in daily functioning.
Low impact
Moderate impact
High impact
01Low impact23Moderate impact45High impact
A score of 2 indicates a moderate perceived loss of strength and energy associated with the illness, with some impact on physical well-being and activity.
example score
3/5
Social Interaction Restriction (SIR)
Assesses how much the illness limits a person’s social contacts and everyday communication.
Minimal restriction
Moderate restriction
Severe restriction
01Minimal restriction23Moderate restriction45Severe restriction
A score of 3 indicates a moderate level of communication restriction, suggesting noticeable but not extreme limitations in social interaction due to the illness.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

People with chronic illness
46%OF USERS
They take it to understand how a long-term condition is changing their role at work, in the family, and in social circles.
Recently diagnosed patients
32%OF USERS
They use it to quickly gauge how a new diagnosis is affecting confidence, communication, and how others treat them.
Rehab and disability applicants
22%OF USERS
They take it to document social and occupational difficulties related to illness when seeking accommodations or support.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE

Scale Results
— Explained Clearly
Your scores across each test scale are translated into plain, usable insights. You won’t just get numbers — you’ll learn how your results impact your daily life, emotional state, and overall well-being.
AI-Powered
Interpretation
You’ll receive a structured, clinically-grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation, without exaggerated language.
Statistical
Comparison
See how your results compare to others. Anonymized platform data is used to create a percentile scale, which identifies whether your results are typical.
Practical
Recommendations
You’ll receive clear, actionable guidance tailored to your profile. These easy-to-implement suggestions focus on coping, self-regulation, and realistic next steps.
AI-Powered
Insights
Get insights on behavioral and thought patterns you might not notice on your own. By uncovering subtle connections between your responses, you’ll better understand what may be driving your current results.
Discuss with
an AI Therapist
Clarify, reflect, and explore your results right away. Talk through your experience, ask questions, and explore meanings in a calm, non-diagnostic dialogue.
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Used in 52+ countries
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See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Material damage (Md)
Average
1.7
Normal range
12.5
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Developing a Sense of Inferiority (DaSoI)
Average
2
Normal range
1.12.9
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Decreased physical attractiveness (Dpa)
Average
3.1
Normal range
2.33.8
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Inability to Build a Career (ItBaC)
Average
2
Normal range
1.22.9
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Limitation of free time (Loft)
Average
2.7
Normal range
2.13.4
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Worsening Relationship at Work (WRaW)
Average
3.1
Normal range
2.33.9
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Renouncing Pleasures (RP)
Average
3.3
Normal range
2.63.9
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Deterioration of family relationships (Dofr)
Average
2.9
Normal range
23.9
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Feeling of loss of strength and energy (Folosae)
Average
1.4
Normal range
0.52.3
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Communication Restrictions (CR)
Average
3
Normal range
23.9
min.
0
max.
5
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire measure?
It measures the perceived impact of illness on social status and functioning. It covers areas such as work, family and friend interactions, and others’ attitudes.
Who can complete the questionnaire?
It is intended for individuals who have a current or past health condition. It can be used in clinical care or research settings.
How long does it take and how many items are included?
Completion typically takes about 2 minutes. The questionnaire includes 10 items.
How should responses be selected?
Select the option that best reflects the current impact of the condition on each area. Answer based on typical recent experience rather than rare events.
How are results used?
Responses are summed into a quantitative score that reflects perceived social impact. Repeated administration can track change over time or support comparisons between groups.
WHAT THE TEST MEASURES
About This Assessment
Questionnaire for Self-Assessment of the Social Significance of Illness Test

Illness Social Significance Self-Assessment Questionnaire Test - Symptoms and Signs

This self-report measure assesses the perceived social impact of illness on an individual’s role functioning and social standing. The Illness Social Significance Self-Assessment Questionnaire is designed to capture how a health condition may influence everyday social interactions and participation.

The instrument includes 10 items and typically requires about 2 minutes to complete. Items ask respondents to rate the extent to which illness affects domains such as work, relationships, and perceived reactions from others, yielding a brief quantitative index that can be used for clinical screening or research. The Illness Social Significance Self-Assessment Questionnaire is attributed to Howard Leventhal.

Author: Howard Leventhal
Literature: Leventhal, H., Meyer, D., & Nerenz, D. The common sense representation of illness danger. In S. Rachman (Ed.), Medical psychology (Vol. 2). Pergamon Press. 1980.
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