top of page
Gravel Road into the Forest_edited.jpg

WHODAS

Sex

This questionnaire asks about difficulties due to health/mental health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the past 30 days and answer these questions thinking about how much difficulty you had doing the following activities. For each question, please circle only one response.

In the last 30 days, how much difficulty did you have in:

Understanding and communicating

D1.1 Concentrating on doing something for ten minutes?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D1.2 Remembering to do important things?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D1.3 Analyzing and finding solutions to problems in day-to-day life?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D1.4 Learning a new task, for example, learning how to get to a new place?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D1.5 Generally understanding what people say?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D1.6 Starting and maintaining a conversation?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

Getting around

D2.1 Standing for long periods, such as 30 minutes?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D2.2 Standing up from sitting down?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D2.3 Moving around inside your home?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D2.4 Getting out of your home?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D2.5 Walking a long distance, such as a kilometer (or equivalent)?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

Self-care

D3.1 Washing your whole body?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D3.2 Getting dressed?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D3.3 Eating?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D3.4 Staying by yourself for a few days?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

Getting along with people

D4.1 Dealing with people you do not know?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D4.2 Maintaining a friendship?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D4.3 Getting along with people who are close to you?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D4.4 Making new friends?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D4.5 Sexual activities?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

Life activities—Household

D5.1 Taking care of your household responsibilities?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D5.2 Doing most important household tasks well?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D5.3 Getting all of the household work done that you needed to do?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D5.4 Getting your household work done as quickly as needed?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

Life activities—School/Work

If you work (paid, non-paid, self-employed) or go to school, complete questions D5.5–D5.8, below. Otherwise, skip to D6.1.

Because of your health condition, in the past 30 days, how much difficulty did you have in:

D5.5 Your day-to-day work/school?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D5.6 Doing your most important work/school tasks well?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D5.7 Getting all of the work done that you need to do?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D5.8 Getting your work done as quickly as needed?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

Participation in society.

In the past 30 days:

D6.1 How much of a problem did you have in joining in community activities (for example, festivities, religious, or other activities) in the same way as anyone else can?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.2 How much of a problem did you have because of barriers or hindrances around you?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.3 How much of a problem did you have living with dignity because of the attitudes and actions of others?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.4 How much time did you spend on your health condition or its consequences?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.5 How much have you been emotionally affected by your health condition?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.6 How much has your health been a drain on the financial resources of you or your family?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.7 How much of a problem did your family have because of your health problems?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do
D6.8 How much of a problem did you have in doing things by yourself for relaxation or pleasure?
1. None
2. Mild
3. Moderate
4. Severe
5. Extreme or cannot do

SOCIAL:

  • LinkedIn

CONTACT

PHONE: 612-708-7562

FAX : 507-738-1963

3507 Lyndale Ave S. Minneapolis, MN 55408

You may receive encrypted emails from ‘Pau Box’ on behalf of Miles Med Management.

​Copyright © 2025 Mental Health Meds. All Rights Reserved.

bottom of page