Dementia Quality of Life (DEMQOL) Questionnaire Template

1. How often do you feel happy?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

2. How often do you feel calm and relaxed?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

3. How often do you feel frustrated or angry?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

4. How often do you feel sad or depressed?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

5. How often do you feel anxious or worried?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

6. How often do you feel lonely?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

7. How often do you feel confident in your ability to do things?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always

8. How often do you feel that life is worth living?

The answer should be a single choice:

1. Never
2. Rarely
3. Occasionally
4. Frequently
5. Always