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Attitudes Toward Illness Questionnaire

Attitudes Toward Illness Questionnaire Test

Understand how someone thinks and feels about their illness in about 27 minutes. Get clear, actionable insight to improve communication and support during treatment.

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Questions: 1227 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

October 2, 2025
Material has been published

15,751 view

1,533 completions

1,323 likes

Verified by Daniel Hall

Psychologist with 25 years of experience

Scale Explorer

How the Scales are Structured

example score

23/27

Hypochondriacal (H)

Measures the degree of preoccupation with bodily sensations and fear of having a serious illness, including symptom exaggeration and persistent reassurance-seeking.

Low

Elevated

High

0 – 15: Low | 16 – 22: Elevated | 23 – 27: High

A score of 23 falls in the High range, indicating a pronounced focus on symptoms and strong health-related worry that may be difficult to relieve with reassurance.

example score

21/27

Paranoid (P)

Measures the degree of suspiciousness and tendency to attribute illness-related problems to others’ mistakes or malicious intent.

Low

Moderate

High

0 – 15: Low | 16 – 22: Moderate | 23 – 27: High

A score of 21 falls in the Moderate range, indicating a noticeable tendency to mistrust others’ intentions and to blame medical staff or close ones for illness-related difficulties.

example score

20/27

Egocentric (E)

Measures the extent to which a person seeks attention or special treatment by emphasizing suffering and the uniqueness of their illness.

Low

Moderate

High

0 – 15: Low | 16 – 22: Moderate | 23 – 27: High

A score of 20 falls in the Moderate range, suggesting a noticeable tendency to highlight illness-related experiences to gain attention or preferential consideration, though not at the most pronounced level.

example score

20/27

Sensitive (S) (S)

Measures how strongly a person is emotionally sensitive and concerned about others’ opinions regarding their illness.

Low

Moderate

High

0 – 15: Low | 16 – 22: Moderate | 23 – 27: High

A score of 20 falls in the Moderate range, suggesting noticeable sensitivity and concern about how the illness is perceived by others, though not at the most pronounced level.

example score

23/27

Dysphoric (D) (D)

Measures the tendency to respond to illness with irritability, aggression, and suspicious or blaming attitudes toward treatment and others.

Low

Elevated

High

0 – 14: Low | 15 – 22: Elevated | 23 – 27: High

A score of 23 falls in the High range, suggesting pronounced dysphoric reactions such as irritability, bitterness, and suspicion that may color interactions around illness and care.

example score

22/27

Apathetic (A) (A)

Measures the degree of indifferent, detached attitude toward illness, with passive compliance and reduced engagement in treatment and life events.

Low

Moderate

High

0 – 14: Low | 15 – 22: Moderate | 23 – 27: High

A score of 22 falls in the Moderate range, suggesting notable apathy with limited interest in the illness and a tendency toward passive participation in care.

example score

12/27

Melancholic (M) (M)

Measures the degree of depressive, pessimistic feelings and hopelessness in a person’s attitude toward their illness and future.

Low

Moderate

High

0 – 14: Low | 15 – 22: Moderate | 23 – 27: High

A score of 12 falls in the Low range, indicating relatively few melancholic features such as pessimism or hopelessness in the current attitude toward illness.

example score

4/27

Neurasthenic (N) (N)

Assesses the degree of irritability, impatience, and mood instability related to experiencing illness and treatment interactions.

Low

Moderate

High

0 – 14: Low | 15 – 22: Moderate | 23 – 27: High

A score of 4 falls in the Low range, suggesting minimal neurasthenic features such as illness-related irritability or impatience.

example score

17/27

Anxious (T) (A)

Measures the degree of worry, fear of consequences, and heightened attention to information and treatment related to one’s illness.

Low anxiety

Moderate anxiety

High anxiety

0 – 14: Low anxiety | 15 – 22: Moderate anxiety | 23 – 27: High anxiety

A score of 17 falls in the Moderate anxiety range, suggesting noticeable worry about the illness and its outcomes with a tendency to seek reassurance or additional information.

example score

17/27

Anosognosic Type (Z) (AT)

Measures the tendency to deny, minimize, or ignore an illness and its potential consequences.

Low denial

Moderate denial

High denial

0 – 14: Low denial | 15 – 22: Moderate denial | 23 – 27: High denial

A score of 17 falls in the Moderate denial range, suggesting a noticeable tendency to downplay or disregard aspects of the illness in thoughts and emotions.

example score

24/27

Ergopathic (E)

Measures the tendency to cope with illness by prioritizing work and maintaining professional/social roles, sometimes minimizing symptoms and treatment constraints.

Low

Moderate

High

0 – 15: Low | 16 – 22: Moderate | 23 – 27: High

A score of 24 falls in the High range, suggesting a strong focus on staying productive and preserving status, with possible downplaying of illness-related limitations.

example score

2/27

Harmonious (H) (H)

Assesses how realistically and constructively a person relates to their illness and engages with treatment while maintaining everyday functioning.

Low harmonious attitude

Moderate harmonious attitude

High harmonious attitude

0 – 14: Low harmonious attitude | 15 – 22: Moderate harmonious attitude | 23 – 27: High harmonious attitude

A score of 2 indicates a low harmonious attitude, suggesting limited presence of a calm, realistic, and actively cooperative approach to the illness in this profile.

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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Chronic condition patients

41%OF USERS

People living with long-term illnesses who want to understand whether they cope calmly, anxiously, or through avoidance and how that may affect treatment.

Recently diagnosed patients

34%OF USERS

People processing a new diagnosis who want to clarify their emotional reaction and readiness to follow medical recommendations.

Clinicians screening attitudes

25%OF USERS

Doctors and nurses using a quick tool to identify a patient’s typical response to illness and tailor communication and 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

Benchmarking

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.

Hypochondriac (H) (H()

Average

14.9

Normal range

10.5 — 19.2

min.

max.

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.

Paranoid (P) (P()

Average

Normal range

5.1 — 12.9

min.

max.

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.

Egocentric (E) (E()

Average

10.4

Normal range

6.2 — 14.5

min.

max.

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.

Sensitive (S) (S()

Average

9.9

Normal range

5.7 — 14

min.

max.

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.

Dysphoric (D) (D()

Average

15.9

Normal range

12.2 — 19.6

min.

max.

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.

Apathetic (A) (A()

Average

8.3

Normal range

4.4 — 12.2

min.

max.

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.

Melancholic (M) (M()

Average

15.9

Normal range

12.4 — 19.5

min.

max.

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.

Neurasthenic (N) (N()

Average

17.2

Normal range

12.6 — 21.7

min.

max.

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.

Anxious (A) (A()

Average

9.5

Normal range

5.2 — 13.8

min.

max.

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.

Anosognosic (A) (A()

Average

Normal range

7.4 — 16.7

min.

max.

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.

Ergopathic (R) (E()

Average

19.2

Normal range

15.1 — 23.3

min.

max.

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.

Harmonious (H) (H()

Average

Normal range

13.6 — 22.5

min.

max.

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 assesses common patterns in how a person thinks about and emotionally responds to having an illness. It also indicates how the illness is understood and discussed.

How are the results used in clinical care?

Results help anticipate adherence, communication needs, and likely coping behavior during treatment. They support selection of practical education and psychosocial support strategies.

How long does it take and how many items are included?

Average completion time is about 25–30 minutes. The questionnaire contains 12 items.

How should responses be selected?

Choose the option that best matches typical thoughts and feelings about the condition, not an ideal response. Answer all items using the first response that seems most accurate.

Does this questionnaire provide a diagnosis or replace clinical evaluation?

No, it does not diagnose medical or mental disorders. It is used as a structured aid alongside clinical information and professional judgment.

WHAT THE TEST MEASURES

About This Assessment

Type of Attitude Towards Illness, TOBOL Test

Attitudes Toward Illness Questionnaire Test - Symptoms and Signs

attitude towards illness uneasiness

This questionnaire is designed to help clinicians characterize how an individual perceives and emotionally responds to having a health condition. The Attitudes Toward Illness Questionnaire provides a brief, structured self-report format to support case formulation and clinical communication; it is attributed to Howard Leventhal and Kenneth A. Wallston.

The instrument contains 12 items and typically requires about 27 minutes to complete. The Attitudes Toward Illness Questionnaire may be used to identify broad patterns of illness-related beliefs and coping responses that can inform patient education, engagement, and supportive interventions alongside medical care.

Author: Howard Leventhal, Kenneth A. Wallston

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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