General Health Questionnaire
A general health questionnaire serves as an assessment of a person’s general health. The questionnaire aims to cover varied areas of health and these include mental, physical and emotional health. It is a good way of establishing how healthy a person is without simply focusing on the physical aspect of health. The structure of a general health questionnaire is usually multiple choice questions with a range of options that the respondent can use to describe how he or she feels. The purpose of the questionnaire is to evaluate the overall impact of a person’s health on their ability to perform and function on a daily basis.
Sample General Questionnaire
Answer the questions below with Sometimes, Usually, Rarely or Always
Do you feel that you generally healthy?
a._____________
b._____________
c. _____________
d._____________
Do you feel tired?
a._____________
b._____________
c. _____________
d._____________
Do you get headaches?
a._____________
b._____________
c. _____________
d._____________
Do you feel under pressure?
a._____________
b._____________
c. _____________
d._____________
Do you complete tasks on time?
a._____________
b._____________
c. _____________
d._____________
Do you ever feel hopeless?
a._____________
b._____________
c. _____________
d._____________
Do you make decisions easily?
a._____________
b._____________
c. _____________
d._____________
Do you feel nervous about speaking in public?
a._____________
b._____________
c. _____________
d._____________
Do you enjoy life?
a._____________
b._____________
c. _____________
d._____________
Do you feel like you have too many responsibilities?
a._____________
b._____________
c. _____________
d._____________
Do you feel energetic?
a._____________
b._____________
c. _____________
d._____________
Do you look forward to challenges?
a._____________
b._____________
c. _____________
d._____________
Category: Health Questionnaire