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Quality of Life Survey
Quality of Life Questionnaire
Purpose and Meaning
Setting your own direction and having a life of meaning
1. I know my own strenghts
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
2. I think my life has meaning
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
3. I think that my strengths are used in the community
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
4. I think my community supports me
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
5. I think I have the tools I need to have a good life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
6. I think the people around me support my life goals
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
7. Think about purpose and meaning in your life and make comments about how it is now.
Freedom
Taking charge of your own life, being in control and making decisions.
8. I think I have control over my life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
9. I feel heard by people around me
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
10. I know I can try different options
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
11. I have the ability to make my own decisions
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
12. Think about freedom in your life and make comments about how it is now.
Money
Having enough money to live well and pay your own way.
13. I am able to earn enough to live a good life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
14. I have enough money to pay my bills
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
15. I am able to save money
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
16. I can use my money how I choose
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
17. I think I can manage my own money
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
18. I think my money is managed well
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
19. Think about money in your life and make comments about how it is now.
Home
Having a place where you belong, a place to call home, to relax and be able to be exactly who you are.
20. I feel safe in my home
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
21. I can live in my home as long as I like
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
22. I have privacy in my home
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
23. I live where I want to live
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
24. I live with people that I like
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
25. I feel like I belong in my home
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
26. I can invite people to my home
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
27. Think about the home in your life and make comments about how it is now.
Help
Giving and getting help from others without giving up your quality of life.
28. I am respected at home
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
29. I feel respected at work
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
30. I feel respected in my community
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
31. I can ask for help when I need it
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
32. I can change my mind and feel supported if I do
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
33. I think I have the chance to learn new things
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
34. I have chances to help other people
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
35. I speak up for others
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
36. I vote
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
37. Think about helping in your life and make comments about how it is now.
Life
Giving and getting help from others without giving up your quality of life.
38. I have the chance to have fun in life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
39. I can work or give back to my community
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
40. I can join community groups
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
41. I get to spend time with people I like
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
42. I have energy to enjoy life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
43. I control what happens in my life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
44. Think about life and make comments about how it is now.
Love
Having friends, family – loving and being loved
45. I know and respect myself
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
46. I can make new friends
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
47. I have or want a partner or lover
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
48. I have or want a family of my own
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
49. I give love to others
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
50. Think about love in your life and make comments about how it is now.
51. These questions were relevant to my life
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
52. I found this easy to complete
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Submission
53. How long did this take you?
*
10 minutes
15 minutes
20 minutes
Longer
54. Your Name
*
55. Your Support Coordinator's Name
*
Alexandria Brown
Ali Sattar
Amy Savine
Belinda Butler
Bernadette Walker
Bianca Findlay
Blake Schuman
Catherine Costello
Cecilia Fliess
Cheyenne Lea
Danielle Verkade
Dimitra Donopoulos
Drew Rogers
Emily Els
Glenda Tucker
Gregor Poole
Jessica Dennis
Karina Bell
Kate Johnstone
Kerri-Anne Hawkins
Kelly Dines
Kieron Clowe
Lisa Bendixen
Lisa Zulfiqar
Liz Doherty
Lynn Lennon
Martin Byrne
Melissa Murray
Megan Schuman
Michaela Kennedy
Olivier Brefeil
Peter Sheehy
Peter Walsh
Rebecca Bull
Rebecca Cain
Rebecca Knight
Rebekah Daly
Renee Davies
Rick Scammell
Ryan Marks
Tammy Jordan
Tania Austin
Zoe Browne
Submit
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