WHO Quality of Life
22 reviews
24K+
Installs

Use our readymade template to create your WHO Quality of Life (WHOQOL - BREF) assessment tool

Create your care assessments

Assessment form builder
  • navigate_next Prebuilt template with WHOQOL - BREF scoring to assess the quality of life
  • navigate_next 26-item questionnaire that scores each of the 26 criteria as “1” (very dissatisfied/very poor) to “5” (very satisfied/very good)
  • navigate_next Real-time calculation of WHOQOL - BREF Score based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of quality of life
  • navigate_next Easily create responsive forms that allow patients to complete their assessments on any device at any time

Collect responses from your patients

Patient ID 1004
Patient Name John W
Patient Email johnw@ymail.com
Patient Phone Number 0987654321
Doctor's Name Dr. Smith
Location New York
Gender Male
Date of Birth 1980-01-01
Education Graduate/Professional Degree
Marital Status Single
Are you currently ill? No
1. How would you rate your quality of life? Good
2. How satisfied are you with your health? Satisfied
3. To what extent do you feel that physical pain prevents you from doing what you need to do? Not at all
4. How much do you need any medical treatment to function in your daily life? Not at all
5. How much do you enjoy life? Very much
6. To what extent do you feel your life to be meaningful? Very much
7. How well are you able to concentrate? Extremely
8. How safe do you feel in your daily life? Very much
9. How healthy is your physical environment? Very much
10. Do you have enough energy for everyday life? Completely
11. Are you able to accept your bodily appearance? Completely
12. Have you enough money to meet your needs? Completely
13. How available to you is the information that you need in your day-to-day life? Completely
14. To what extent do you have the opportunity for leisure activities? Completely
15. How well are you able to get around? Very good
16. How satisfied are you with your sleep? Very satisfied
17. How satisfied are you with your ability to perform your daily living activities? Very satisfied
18. How satisfied are you with your capacity for work? Very satisfied
19. How satisfied are you with yourself? Very satisfied
20. How satisfied are you with your personal relationships? Very satisfied
21. How satisfied are you with your sex life? Very satisfied
22. How satisfied are you with the support you get from your friends? Very satisfied
23. How satisfied are you with the conditions of your living place? Very satisfied
24. How satisfied are you with your access to health services? Very satisfied
25. How satisfied are you with your transport? Very satisfied
26. How often do you have negative feelings such as blue mood, despair, anxiety, depression? Never
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the WHOQOL - BREF assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their WHOQOL - BREF assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their WHOQOL - BREF assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your WHOQOL - BREF assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their WHOQOL - BREF score, diagnosis, next steps when they submit their WHOQOL - BREF assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W 1. How would you rate your quality of life? Good 4
3 John W 2. How satisfied are you with your health? Satisfied 4
4 John W 3. To what extent do you feel that physical pain prevents you from doing what you need to do? Not at all 5
5 John W 4. How much do you need any medical treatment to function in your daily life? Not at all 5
6 John W 5. How much do you enjoy life? Very much 4
7 John W 6. To what extent do you feel your life to be meaningful? Very much 4
8 John W 7. How well are you able to concentrate? Extremely 5
9 John W 8. How safe do you feel in your daily life? Very much 4
10 John W 9. How healthy is your physical environment? Very much 4
11 John W 10. Do you have enough energy for everyday life? Completely 5
12 John W 11. Are you able to accept your bodily appearance? Completely 5
13 John W 12. Have you enough money to meet your needs? Completely 5
14 John W 13. How available to you is the information that you need in your day-to-day life? Completely 5
15 John W 14. To what extent do you have the opportunity for leisure activities? Completely 5
16 John W 15. How well are you able to get around? Very good 5
17 John W 16. How satisfied are you with your sleep? Very satisfied 5
18 John W 17. How satisfied are you with your ability to perform your daily living activities? Very satisfied 5
19 John W 18. How satisfied are you with your capacity for work? Very satisfied 5
20 John W 19. How satisfied are you with yourself? Very satisfied 5
21 John W 20. How satisfied are you with your personal relationships? Very satisfied 5
22 John W 21. How satisfied are you with your sex life? Very satisfied 5
23 John W 22. How satisfied are you with the support you get from your friends? Very satisfied 5
24 John W 23. How satisfied are you with the conditions of your living place? Very satisfied 5
25 John W 24. How satisfied are you with your access to health services? Very satisfied 5
26 John W 25. How satisfied are you with your transport? Very satisfied 5
27 John W 26. How often do you have negative feelings such as blue mood, despair, anxiety, depression? Never 5
  • navigate_next Export patient responses including the calculated WHOQOL - BREF score to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 26 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their quality of life
  • navigate_next Receive a copy of the response and the calculated WHOQOL - BREF score by email whenever a patient submits their WHOQOL - BREF assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient ID: 1004
Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
Doctor's Name: Dr. Smith
Location: New York
Gender: Male
Date of Birth:1/1/1980
Education: Graduate/Professional Degree
Marital Status: Single
Are you currently ill?: No
1. How would you rate your quality of life? : Good
2. How satisfied are you with your health?: Satisfied
3. To what extent do you feel that physical pain prevents you from doing what you need to do?: Not at all
4. How much do you need any medical treatment to function in your daily life?: Not at all
5. How much do you enjoy life?: Very much
6. To what extent do you feel your life to be meaningful?: Very much
7. How well are you able to concentrate?: Extremely
8. How safe do you feel in your daily life?: Very much
9. How healthy is your physical environment?: Very much
10. Do you have enough energy for everyday life?: Completely
11. Are you able to accept your bodily appearance?: Completely
12. Have you enough money to meet your needs?: Completely
13. How available to you is the information that you need in your day-to-day life?: Completely
14. To what extent do you have the opportunity for leisure activities?: Completely
15. How well are you able to get around?: Very good
16. How satisfied are you with your sleep?: Very satisfied
17. How satisfied are you with your ability to perform your daily living activities?: Very satisfied
18. How satisfied are you with your capacity for work?: Very satisfied
19. How satisfied are you with yourself?: Very satisfied
20. How satisfied are you with your personal relationships?: Very satisfied
21. How satisfied are you with your sex life?: Very satisfied
22. How satisfied are you with the support you get from your friends?: Very satisfied
23. How satisfied are you with the conditions of your living place?: Very satisfied
24. How satisfied are you with your access to health services?: Very satisfied
25. How satisfied are you with your transport?: Very satisfied
26. How often do you have negative feelings such as blue mood, despair, anxiety, depression?: Never
Overall Quality of Life & General Health:
  • navigate_next Create a HIPAA compliant WHOQOL - BREF assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting WHOQOL - BREF form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in WHOQOL - BREF assessments by creating secure prefill links without exposing PHI
  • navigate_next Limit access to patient data only for authorized personnel and minimize the risk of data breaches

These reviews are reproduced without modification from Google Workspace Marketplace.

July 27, 2023

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

February 16, 2024

1 stars

Does not work

— Myles Sicuro

October 31, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

More...
close