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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Questions1227 minutes
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08:30
October 2, 2025
October 2, 2025
Material has been updated
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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
015Low1622Elevated2327High
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
015Low1622Moderate2327High
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
015Low1622Moderate2327High
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
015Low1622Moderate2327High
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
014Low1522Elevated2327High
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
014Low1522Moderate2327High
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
014Low1522Moderate2327High
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
014Low1522Moderate2327High
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
014Low anxiety1522Moderate anxiety2327High 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
014Low denial1522Moderate denial2327High 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
015Low1622Moderate2327High
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
014Low harmonious attitude1522Moderate harmonious attitude2327High 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
What You’ll See After You Finish the Test
Scale Results
— Explained Clearly
Your scores across each test scale, translated into plain, usable insights. Not just numbers, but what they actually mean for your daily life, emotional state, and overall well-being.
AI-Powered
Interpretation
A structured, clinically grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation — without alarmist language.
Statistical
Comparison
See how you compare to others. Your scores are placed in a statistical context, showing percentiles and trends based on anonymized platform data to help you understand what`s typical.
Practical
Recommendations
Actionable guidance tailored to your profile. Receive clear, realistic suggestions you can apply immediately — focused on coping, self-regulation, and realistic next steps.
AI-Detected
Insights
Key patterns you might not notice on your own. Surfacing subtle connections in your responses that help you better understand what may be driving your current results.
Discuss with
an AI Psychologist
Clarify, reflect, and explore right away. Talk through your outcomes, ask questions, and explore meanings in a calm, non-diagnostic dialogue environment.
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Used in 52+ countries
Benchmarking
See How You Compare
Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.
Hypochondriac (H) (H()
Average
14.9
Normal range
10.519.2
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Paranoid (P) (P()
Average
9
Normal range
5.112.9
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Egocentric (E) (E()
Average
10.4
Normal range
6.214.5
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Sensitive (S) (S()
Average
9.9
Normal range
5.714
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Dysphoric (D) (D()
Average
15.9
Normal range
12.219.6
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Apathetic (A) (A()
Average
8.3
Normal range
4.412.2
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Melancholic (M) (M()
Average
15.9
Normal range
12.419.5
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Neurasthenic (N) (N()
Average
17.2
Normal range
12.621.7
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Anxious (A) (A()
Average
9.5
Normal range
5.213.8
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Anosognosic (A) (A()
Average
12
Normal range
7.416.7
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Ergopathic (R) (E()
Average
19.2
Normal range
15.123.3
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Harmonious (H) (H()
Average
18
Normal range
13.622.5
min.
0
max.
27
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
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CLEAR ANSWERS TO COMMON QUESTIONS
Frequently Asked Questions

Any questions left?

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

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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