Loading
Get Qolie 10 P Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Qolie 10 P Form online
The Qolie 10 P Form is a valuable tool for individuals with epilepsy to assess their quality of life and manage their health effectively. This guide will provide a clear, step-by-step approach to help you complete the form online with ease.
Follow the steps to complete the Qolie 10 P Form online.
- Click ‘Get Form’ button to access the Qolie 10 P Form and open it for editing.
- Enter today's date in the required format: mm/dd/yyyy.
- Fill in your name clearly in the designated field.
- Indicate your age in years by entering the appropriate number.
- Proceed to answer each of the 10 questions regarding your health and daily activities over the past four weeks by circling the number that best represents your feelings.
- For question 11, assess the overall distress related to your epilepsy and circle the number that reflects your feelings.
- In the final section, rank the importance of the seven provided topics regarding your epilepsy quality of life, using each number only once.
- After completing the form, ensure all answers are filled correctly, then save your changes. You can also download, print, or share the completed form as needed.
Take control of your health by completing the Qolie 10 P Form online today!
The 10-item questionnaire (QOLIE-10) contains general and epilepsy-specific dimensions grouped into three domains: Epilepsy Effects (memory, physical effects, and mental effects of medication), Mental Health (energy, depression, overall quality of life), and Role Functioning (seizure worry, work, driving, social limits ...
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.