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Purpose
Content Domain - Rated ability to fully participate in and enjoy a large number of domains of activities including employment, being a partner, sexual relationships, recreation, travel, strenuous activity - exercise, enmeshment in the community. Checklist of activities participated in during the past month. Operational Data Items - Site, Sub-Provider, Date, Staff Code, Client Gender, six "ladders" showing from low to high levels in different domains (health, enjoyment of life, household duties, leisure time, social relationships, and general quality of life). Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1996). Module 22: Quality of Life Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group. Source Citations
Usage - Permission is granted for non-commercial use so long as form is not altered, the copyright is not removed, and a proper citation is made to the instrument. Non-commercial use is use by a not-for-profit organization in which the instrument is not sold. If you have questions about appropriate and proper uses, contact The Measurement Group. Findings from Evaluating HIV/AIDS Programs Reliability and Validity Studies
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