*This screen is not part of the EQ-5D instrument, it has been added to this demo for information purposes

Welcome to the EQ-5D-Y-5L Device-independent version demo

Would you like to get to know our products better? Please try our EQ-5D Device-independent version demo.You can try this EQ-5D demo on our website without disclosing any personal data. When you try our EQ-5D demo, no scores on the EQ-5D dimensions or any other data will be stored on our servers.

Demo Disclaimer

Health Questionnaire

English version for the UK

Please choose the ONE answer that best describes your health TODAY.

MOBILITY (walking about)

I have no problems walking about

I have a little bit of a problem walking about

I have some problems walking about

I have a lot of problems walking about

I cannot walk about

Please choose the ONE answer that best describes your health TODAY.

LOOKING AFTER MYSELF

I have no problems washing or dressing myself

I have a little bit of a problem washing or dressing myself

I have some problems washing or dressing myself

I have a lot of problems washing or dressing myself

I cannot wash or dress myself

Please choose the ONE answer that best describes your health TODAY.

DOING USUAL ACTIVITIES (for example, going to school, hobbies, sports, playing, doing things with family or friends)

I have no problems doing my usual activities

I have a little bit of a problem doing my usual activities

I have some problems doing my usual activities

I have a lot of problems doing my usual activities

I cannot do my usual activities

Please choose the ONE answer that best describes your health TODAY.

HAVING PAIN OR DISCOMFORT

I have no pain or discomfort

I have a little bit of pain or discomfort

I have some pain or discomfort

I have a lot of pain or discomfort

I have extreme pain or discomfort

Please choose the ONE answer that best describes your health TODAY.

FEELING WORRIED, SAD OR UNHAPPY

I am not worried, sad or unhappy

I am a little bit worried, sad or unhappy

I am quite worried, sad or unhappy

I am really worried, sad or unhappy

I am extremely worried, sad or unhappy

We would like to know how good or bad your health is TODAY.
You will see a line numbered from 0 to 100.
100 means the best health you can imagine.
0 means the worst health you can imagine.
Please indicate on the line how your health is TODAY.

YOUR HEALTH TODAY =

*This screen is not part of the EQ-5D instrument, it has been added to this demo for information purposes

You have now completed this questionnaire.

If you would like to change any of your answers, you may do so by pressing the "Previous" button prior to finalizing the questionnaire.

Please finalize the questionnaire by pressing the ”Finalize" button. Once you press ”Finalize", you will not be able to go back to review or change your answers.

*This screen is not part of the EQ-5D instrument, it has been added to this demo for information purposes

Welcome to the EQ-5D-Y-5L Device-independent version demo

Health Questionnaire

English version for the UK

MOBILITY (walking about)

LOOKING AFTER MYSELF

DOING USUAL ACTIVITIES (for example, going to school, hobbies, sports, playing, doing things with family or friends)

HAVING PAIN OR DISCOMFORT

FEELING WORRIED, SAD OR UNHAPPY

You have now completed this questionnaire.

Thank you for completing EQ-5D