HAQ - Health Assessment Questionaire
- HAQ is used for assessing the disability level in patients of Musculo-Skeletal diseases.
- Reference: Modified from Stanford HAQ 20-Item Disability Scale
| Institute of Rheumatology and Pain - www. arthritiscare.co.in | ||||||
| HAQ - HEALTH ASSESSMENTQUESTIONAIRE | ||||||
| Instructions: Please score 0-3 for your abilities over the past week | ||||||
| Note: Leave blank if you normaly do not do any activity. | ||||||
| Were you able to do the following: | SCORE | |||||
| A | DRESSING | |||||
| 1 | Put on clothes with buttons and shoe with laces? | Score 0 - Without ANY difficulty | ||||
| 2 | Wash/ Shampoo/ Soap your hair? | |||||
| B | ARISING | |||||
| 3 | Stand up from a staright chair? | |||||
| 4 | Get in and out of bed? | |||||
| C | EATING | |||||
| 5 | Cut your vegetables/meat? | Score 1 - NO Aids and devices and help from others. With SOME difficulty | ||||
| 6 | Lift your Cup or glass to your mouth? | |||||
| 7 | Open a new milk carton? | |||||
| D | WALKING | |||||
| 8 | Walk outdoors on a flat surface? | |||||
| 9 | Climb up 5 steps? | |||||
| E | HYGIENE | |||||
| 10 | Wash and dry your body? | Score 2 - With Aids and devices and help from others. With MUCH difficulty | ||||
| 11 | Take a Tub Bath? | |||||
| 12 | Geton and off the toilet? | |||||
| F | REACH | |||||
| 13 | Get down a 5 pound obeject from overhead? | |||||
| 14 | Bend down and pick things from the floor? | |||||
| G | GRIP | |||||
| 15 | Open car doors? | Score 3 - With Aids and devices and help from others. UNABLE to do at all | ||||
| 16 | Open jars and containers? | |||||
| 17 | Turn Tap on and off? | |||||
| H | ACTIVITIES | |||||
| 18 | Run errands and shop? | |||||
| 19 | Get in and out of Car? | |||||
| 20 | Do chores like vaccuming or yard/garden work? | |||||
| Score | ||||||