Global Rating of Change Scale Questionnaire Form
Please complete this assessment by indicating your perception of change across each item. Select the option that best reflects your experience.
Overall, how would you rate your change since the start of the intervention?
*
Much worse
Moderately worse
Slightly worse
No change
Slightly improved
Moderately improved
Much improved
How would you rate your physical functioning now compared to before?
*
Much worse
1
2
3
4
5
6
Much improved
7
1 is Much worse, 7 is Much improved
How would you rate your pain or discomfort now compared to before?
*
Much worse
1
2
3
4
5
6
Much improved
7
1 is Much worse, 7 is Much improved
How would you rate your ability to perform daily activities now compared to before?
*
Much worse
1
2
3
4
5
6
Much improved
7
1 is Much worse, 7 is Much improved
How would you describe your energy levels now compared to before?
*
Much lower
Moderately lower
Slightly lower
No change
Slightly higher
Moderately higher
Much higher
How would you rate your mood now compared to before?
*
Much worse
Moderately worse
Slightly worse
No change
Slightly improved
Moderately improved
Much improved
How would you rate your sleep quality now compared to before?
*
Much worse
Moderately worse
Slightly worse
No change
Slightly improved
Moderately improved
Much improved
How would you rate your social engagement now compared to before?
*
Much less
Moderately less
Slightly less
No change
Slightly more
Moderately more
Much more
Please rate the overall impact of the intervention on your quality of life.
*
1
2
3
4
5
6
7
Please indicate your perceived change in the following areas compared to before:
*
Rows
Much worse
Moderately worse
Slightly worse
No change
Slightly improved
Moderately improved
Much improved
Physical well-being
1
2
3
4
5
6
7
Mental well-being
8
9
10
11
12
13
14
Social relationships
15
16
17
18
19
20
21
Ability to work/study
22
23
24
25
26
27
28
Submit Assessment
Should be Empty: