Work and Social Adjustment People’s problems sometimes affect their ability to do certain day-today tasks in their lives. To rate your problems look at each section and determine on the scale provided how much your problem impairs your ability to carry out the activity. 0Would not avoid12Slightly avoid34Definitely avoid56Markedly avoid78Always avoid Work if you are retired or choose not to have a job for reasons unrelated to your problem, skip this question 012345678 Home Management Cleaning, tidying, shopping, cooking, looking after home/children, paying bills etc 012345678 Social leisure activities with other people, e.g. parties, pubs, outings, entertaining etc 012345678 Private leisure activities Done alone, e.g. reading, gardening, sewing, hobbies, walking etc 012345678 Family and relationships Form and maintain close relationships with other including the people I live with 012345678 Total Patient Health Questionnaire 9 Click here Generalized Anxiety Disorder 7 Click here Phobia Scales Click here Economic Status Questions Click here
