QUALITY OF LIFE INDEX
PART 1: For each of the following, please choose
the answer that best describes how satisfied you are
with that area of your life. Please mark your answer
by circling the number. There are no right or wrong
answers.
1/C0Very dissatisfied; 2 /C0Moderately dissatisfied;
3/C0Slightly dissatisfied; 4 /C0Slightly satisfied; 5 /C0
Moderately satisfied; 6 /C0Very satisfied
HOW SATISFIED ARE YOU WITH:
1.Your health?
2.Your health care?
3.The amount of pain that you have?
4.The amount of energy you have for everyday
activities?
5.Your ability to take care of yourself without help?
6.The amount of control you have over your life?
7.Your chances of living as long as you would like?
8.Your family’s health?
9.Your children?
10.Your family’s happiness?
11.Your sex life?
12.Your spouse, lover, or partner?
13.Your friends?
14.The emotional support you get from your family?
15.The emotional support you get from people other
than your family?
16.Your ability to take care of family responsibilities?
17.How useful you are to others?
18.The amount of worries in your life?
19.Your neighborhood?
20.Your home, apartment, or place where you live?
21.Your job (if employed)?
22.Not having a job (if unemployed, retired, or
disabled)?
23.Your education?
24.How well you can take care of your financial needs?
25.The things you do for fun?
26.Your chances for a happy future?
27.Your peace of mind?
28.Your faith in God?
29.Your achievement of personal goals?
30.Your happiness in general?
31.Your life in general?
32.Your personal appearance?
33.Yourself in general?
PART 2: For each of the following, please choose the
answer that best describes how important that area ofyour life is to you. Please mark your answer by circling
the number. There are no right or wrong answers.
1/C0Very unimportant; 2 /C0Moderately unimportant;
3/C0Slightly unimportant; 4 /C0Slightly important; 5 /C0
Moderately important; 6 /C0Very important
HOW IMPORTANT TO YOU IS:
1.Your health?
2.Your health care?
3.Having no pain?
4.Having enough energy for everyday activities?
5.Taking care of yourself without help?
6.Having control over your life?
7.Living as long as you would like?
8.Your family’s health?
9.Your children?
10.Your family’s happiness?
11.Your sex life?
12.Your spouse, lover, or partner?
13.Your friends?
14.The emotional support you get from your family?
15.The emotional support you get from people other
than your family?
16.Taking care of family responsibilities?
17.Being useful to others?
18.Having no worries?
19.Your neighborhood?
20.Your home, apartment, or place where you live?
21.Your job (if employed)?
22.Having a job (if unemployed, retired, or disabled)?
23.Your education?
24.Being able to take care of your financial needs?
25.Doing things for fun?
26.Having a happy future?
27.Peace of mind?
28.Your faith in God?
29.Achieving your personal goals?
30.Your happiness in general?
31.Being satisfied with life?
32.Your personal appearance?
33.Are you to yourself?
Notes: Presented are the items of the QLI Generic
Version-III.
Source: www.uic.edu/orgs/qli/questionaires/question-
nairehome.htm (Retrieved May 9, 2014).
rCopyright 1984 & 1998 Carol Estwing Ferrans and
Marjorie J. Powers.
Reproduced with permission.110 5. MEASURES OF LIFE SATISFACTION ACROSS THE LIFESPAN
II. EMOTIONAL DISPOSITIONS