Holistic Health and Functioning: Individual health and functioning

InstrumentsNumber of Items
CAHPS Home and Community Based Services (HCBS) Survey EoC4
Cash and Counseling Demonstration Baseline Instrument3
CQL Personal Outcome Measures (POM)48
Money Follows the Person (MFP) Quality of Life Survey14
Mental Health Statistics Improvement Program (MHSIP) Adult Consumer Survey1
National Core Indicators Adult Consumer Survey (NCI ACS)29
National Core Indicators Aging and Disabilities (NCI AD)52
Personal Experience Outcomes Integrated Interview and Evaluation System (PEONIES)33
Participant Experience Surveys Elderly and Disabled (PES-ED)2
The Performance Outcome Measurement Project (POMP 5): Caregiver Services Survey Instrument27
Agreement with Recovery Attitudes Scale2
Assessment of Quality of Life (AQoL)27
Attitudes Towards Treatment2
CAN - Camberwell Assessment of Need, Revised16
CLMDP: SAMHSA’s NOMs Client-Level Measures for Discretionary Programs Providing29
Community Participation Indicators (CPI)1
Consumer Recovery Outcomes System (CROS 3.0) - only use consumer version12
Coordinated Assessement System162
CQL Basic Assurances24
Disability Rating Scale (DRS)8
Evaluating Social Inclusion Questionnaire2
Experience of Care and Health Outcomes Survey, CAHPS Version 3.0 (ECHO)10
Glasgow Outcome Scale-Extended (GOS-E)4
Hopkins Symptom Checklist - 25 item version (HSC)25
Illness Management and Recovery (IMR) Scales - Clinician rating10
Illness Management and Recovery (IMR) Scales - Consumer Self-rating10
Lehman Quality of Life Interview (QLI)2
Maryland Assessment of Recovery in People with Serious Mental Illness1
Mayo-Portland Adaptability Inventory-4 (MPAI-4)26
Mental Health Statistics Improvement Program (MHSIP) Family Survey1
Mental Health Statistics Improvement Program (MHSIP) Youth Consumer Survey1
Minnesota Department of Human Services Resident Quality of Life Interview 201511
Minnesota Elderly Waiver Consumer Experience Survey (MNCES)6
Minnesota Self-Determination Scales Exercise of Control Scale1
Minnesota Self-Determination Scales Importance of Control Scale12
Minnesota Self-Determination Scales Self-Determination Environment Scale4
Minnesota Self-Determination Scales Self-Determination Environment Scale (Staff version)1
MNSP-CMEvalCSSP1
National Core Indicators (NCI) Adult Family Survey (NCI AFS)7
National Core Indicators (NCI) Child Family Survey (NCI CFS)7
National Core Indicators (NCI) Family Guardian Survey (NCI FGS)7
National Health and Aging Trends Study Round 5 (NHATS) - Participation Module12
National Long Term Care Survey Community Questionnaire, 2004 (NLTCS)75
National Survey of Older Americans Act Participants (NSOAAP): Individual Service Modules25
National Survey of Older Americans Act Participants (NSOAAP): PHYSICAL, SOCIAL, AND EMOTIONAL WELL-BEING Module48
Older People’s Quality of Life Questionnaire (OPQOL-35)7
PART-O - Participation Assessment with Recombined Tools-Objective1
Participant Experience Survey Home- and Community-Based Services Experience Survey (PES-HCBS)3
Participant Experience Survey Home- and Community-Based Services Experience Survey (PES-HCBS) Alternate Version3
Participant Experience Survey Mental Retardation/Developmental Disabilities Version (PES-MRDD)2
Pearlin Coping Mastery Scale (PCMS)7
Peer Outcomes Protocol - Program satisfaction module and well-being module5
Perceived Competence for Recovery Scale (PCRS)4
Perceived Quality of Life Scale (PQoL)8
Person-Centered Practices in Assisted Living (PC-PAL), Resident and Staff Forms6
Personal Empowerment2
Personal Life Quality Protocol (PLQ)6
Personal Wellbeing Index-Intellectual Disability1
Preferences for Everyday Living Inventory-Nursing Home2
PROMIS-ES - PROMIS Item Bank v2.0, Emotional Support1
PROMIS-GHS - PROMIS Item Bank v1.0/1.1, Global Health Scale8
Quality of Life (Kane, 2004)13
Quality of Life in Alzheimer's Disease Scale7
Quality of Life Questionnaire (QOL - Schalock)3
Quality of Life Scale, Flanagan (QOLS)1
Recovery Assessment Scale (RAS)5
Recovery Oriented Practices Index (ROPI)5
Recovery Oriented System Indicators (ROSI)3
Ridgway Recovery-Enhancing Environment Measure22
Rochester Recovery Inventory1
Sense of Community Index 2 (SCI-2)1
Social Acceptance Scale (SAS)7
Social and Community Opportunities Profile34
Stages of Recovery Instrument (STORI)28
Tailored Caregiver Assessment, Personal Family Caregiver Survey (TCARE)1
The Arc’s Self-Determination Scale, Adult Version (ASDS)4
The Empowerment Scale, Rogers (ESR) - AKA Making Decisions Empowerment Scale8
The Performance Outcome Measurement Project (POMP 5): Additional Services Received Module4
The Performance Outcome Measurement Project (POMP 5): Transportation Survey Instrument1
TRAIL Leisure Assessment Battery1
UCLA Loneliness Scale (UCLA LS)5
Well-Being Scale30
World Health Organization Quality of Life BREF (WHOQOL-BREF)15
World Health Organization Quality of Life OLD (WHOQOL-OLD)9
Youth Quality of Life Instrument - Short Form (YQOL-SF)5
Youth Services Survey (YSS)1
AACP Rose-Recovery Oriented Services Evaluation0
American Institutes for Research Self-Determination Assessment0
Assistance with Caregiving0
Australian Community Participation Questionnaire0
Burden Scale for Family Caregivers, Long Form (BSFC)0
Burden Scale for Family Caregivers, Short Form (BSFC)0
Canadian Survey on Disability (CSD)0
Caregiver Strain Index (CSI)0
Caregiving Appraisal Scale (CAS)0
CGUS: Caregiving in the U.S. 20150
Client Assessment Inventory (CAI)0
Community Integration Measure (CIM)0
Community Integration Questionnaire - Revised (CIQ-R)0
Community Service Attitudes Inventory0
Craig Handicap Assessment and Reporting Technique (CHART)0
Craig Hospital Inventory of Environmental Factors (CHIEF)0
Decision Making Involvement Scale0
Empowering Arizona’s Individuals with Developmental Disabilities Consumer to Consumer Survey (EAZI)0
Empowerment Affirmation Scale (ES - Corrigan)0
Family and Individual Needs for Disability Supports (FINDS) Survey0
Minnesota Self-Determination Scales Decision-Making Preference Scale0
Minnesota Self-Determination Scales Exercise of Control Scale (Staff version)0
MN LTSS Improvement Tool Form 7611 D (MN-LTSSIT-D)0
MN LTSS Improvement Tool Form 7611A (MN-LTSSIT-A)0
MN LTSS Improvement Tool Form 7611B (MN-LTSSIT-B)0
MN LTSS Improvement Tool Form 7611C (MN-LTSSIT-C)0
MN Service Provider (MNSP)0
MNSP-CMEvalProviders0
MNSP-PersonEvalCM0
MNSP-PersonEvalCSSP0
MNSP-PersonEvalProviders0
MOS Social Support Survey0
National Core Indicators (NCI) Staff Stability Survey0
National Core Indicators In-Person Survey (NCI IPS)0
National Survey of Older Americans Act Participants (NSOAAP): Additional Service List Module0
National Survey of Older Americans Act Participants (NSOAAP): DEMOGRAPHIC INTAKE Module0
NSOC: National Study of Caregiving.0
NYPSS - New York Traumatic Brain Injury Waiver Program Participant Satisfaction Survey0
Ohio Department of Aging Resident Satisfaction Survey (OH-RCF)0
ORIES - Oregon HCBS Individual Experience Survey, 20150
PART-E - Participation Assessment with Recombined Tools-Enfranchisement0
Perceived Autonomy Support - The Mental Health Climate Questionnaire (PAS-MHCQ)0
PROMIS-SPDSA - PROMIS Item Bank v1.0, Satisfaction with Participation in Discretionary Social Activities0
PROMIS-SSRA - PROMIS Item Bank v2.0, Satisfaction with Social Roles and Activities0
Recovery Promotion Fidelity Scale (RPFS)0
Recovery Self-Assessment Scale (RSA) Person in Recovery Version0
SCSPWD - Survey for Caregivers Supporting a Person with a Disability Outside of the Disability Support Service System.0
Social Relations Scale (Quality of Life Interview, Lehman) (QOLI-SRS)0
Staff Relationship Scale (SRS)0
Staff Survey of Social Inclusion0
Temple University Community Participation Measure (TUCPM)0
The Family Quality of Life Scale (FQOL)0
The Performance Outcome Measurement Project (POMP 5): Case Management Survey Instrument0
The Performance Outcome Measurement Project (POMP 5): Demographics Module0
The Performance Outcome Measurement Project (POMP 5): Social and Emotional Well-Being Module0
Zarit Burden Interview (ZBI)0