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ANNEXURE-4
Quality Of Life in Epilepsy: QOLIE-10-P
All Most A Some A None
of of good of little of the the bit of the of the time time the time the time time time
1. Did you have a lot of energy? 1 2 3 4 5 6
2. Have you felt downhearted and low? 1 2 3 4 5 6
A great Some Only a
deal A lot what little Not at all
3. Driving (or other transportation) 1 2 3 4 5
During the past 4 weeks… Not at
all botherso Extremely me bothersome
4. How much do your work limitations bother
1 2 3 4 5 you?
5. How much do your social limitations bother
1 2 3 4 5 you?
6. How much do your memory difficulties bother
1 2 3 4 5 you? 1 2 3 4 5 7. How much do physical effects of antiepileptic drugs bother you? 8. How much do psychological effects of 1 2 3 4 5 antiepileptic drugs bother you?
Very Some Not Not afraid
afraid what very at all afrai afrai d d
9. How afraid are you of having a seizure during 1 2 3 4
the next 4 weeks?
10. How has your QUALITY OF LIFE been during the past 4 weeks (that is, how have things been going for you)?
Very good: could hardly have been 1 better
Pretty good 2
3 Good & bad about equal
4 Pretty bad
Very bad: 5 could hardly have been worse
Not at Some Moderately Very
all what A lot much 11. How much does the state of your epilepsy-related quality of life distress 1 2 3 4 5 you overall?
12. Number the following topics from ‘1’ to ‘7’ with ‘1’ corresponding to the most important topic and ‘7’ to the least important one. Please use each number only once.
└──┘ A. Energy (tiredness)
└──┘ B. Emotions (mood) └──┘ C. Daily activities (work, driving, social) D.Mental activity (thinking, └──┘ concentrating, memory) └──┘ E. Medication effects (physical, mental) └──┘ F. Worry about fits (impact of fits) └──┘ G. Overall quality of life
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