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

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