Dying Well : Missoula-Vitas Quality of Life Index : MVQOLI : 25 Item Version

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Missoula-Vitas Quality of Life Index (tm)
V-25

INSTRUCTIONS:
Indicate the extent to which you agree or disagree with the following statements by marking in one of the circles below the question. For items with two statements, indicate agreements with one or the other or if they are equally true, choose "Neutral". If you make a mistake or change your mind, place an X through the wrong answer and mark the circle indicating your correct answer.

Patient's Name: _________________ Today's Date: _________________

GLOBAL

How would you rate your overall quality of life?

O
Worse Possible

O
Poor

O
Fair

O
Good

O
Best
Possible


SYMPTOM

1. My symptoms are adequately controlled.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


2. I feel sick all the time.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


3. I accept my symptoms as a fact of life.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


4. I am satisfied with current control of my symptoms.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly

5. Despite physical discomfort, in general I can enjoy my days.

OR

Physical discomfort overshadows and opportunity for enjoyment.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly



FUNCTION

6. I am still able to attend to most of my personal needs by myself.

OR

I am dependant on others for my personal care.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


7. I am still able to do many of the things I like to do.

OR

I am no longer able to do many of the things I like to do.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


8. I am satisfied with my ability to take care of my basic needs.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly



9. I accept the fact that I can not do many of the things I used to do.

OR

I am disappointed that I can not do many of the things I used to do.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


10. My contentment with life depends upon being active and being independent in my personal care.


Agree
Strongly


Agree


Neutral

O
Disagree

O
Disagree
Strongly


INTERPERSONAL

11. I have recently been able to say important things to the people close to me.


Agree
Strongly


Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


12. I feel closer to others in my life now than I did before my illness.

OR

I feel increasingly distant from others in my life.


Agree
Strongly

O
Agree


Neutral

O
Agree

O
Agree
Strongly


13. In general, these days I am satisfied with relationships with family and friends.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


14. At present, I spend as much time as I want to with family and friends.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


15. It is important to me to have close personal relationships.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly



WELL BEING


16. My affairs are in order; I could die today with a clear mind.

OR

My affairs are not in order; I am worried that many things are unresolved.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly



17. I feel generally at peace and prepared to leave this life.

OR

I am unsettled and unprepared to leave this life.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


18. I am more satisfied with myself as a person now than I was before my illness.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly


19. The longer I am ill, the more I worry about things "getting out of control".

OR

The longer I am ill, the more comfortable I am with the idea of "letting go".

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


20. It is important to me to be at peace with myself.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly



TRANSCENDENT


21. I have a greater sense of connection to all things now than I did before my illness.

OR

I feel more disconnected from all things now than I did before my illness.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly



22. I have a better sense of meaning in my life now than I have had in the past.

OR

I have less of a sense of meaning in my life now than I have had in the past.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


23. As the end of my life approaches, I am comfortable with the thought of my own death.

OR

As the end of my life approaches, I am uneasy with the thought of my own death.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


24. Life has become more precious to me; every day is a gift.

OR

Life has lost all value for me; every day is a burden.

O
Agree
Strongly

O
Agree

O
Neutral

O
Agree

O
Agree
Strongly


25. It is important to me to feel that my life has meaning.

O
Agree
Strongly

O
Agree

O
Neutral

O
Disagree

O
Disagree
Strongly

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© 1998 by VITAS Healthcare Corporation, Miami, FL and Ira R. Byock, MD, Missoula, MontanaDo not reproduce without permission.
This instrument was created by Ira Byock, MD and Melanie Merriman, PhD.
Reference: Byock IR and Merriman MP. Measuring quality of life for patients with terminal illness: the Missoula-VITAS Quality of Life Index. Pall. Med. 12:231-244, 1998.
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