Health related quality of life measures this section includes the four core questions above and ten additional questions about health related quality of life these questions ask about recent pain depression anxiety sleeplessness vitality and the cause duration and severity of a current activity limitation an individual may have in his . Health related quality of life hrqol is a multi dimensional concept that includes domains related to physical mental emotional and social functioning it goes beyond direct measures of population health life expectancy and causes of death and focuses on the impact health status has on quality of life. It follows that the measurement of health and the effects of health care must include not only an indication of changes in the frequency and severity of diseases but also an estimation of well being and this can be assessed by measuring the improvement in the quality of life related to health care. In public health research and practice quality of life is increasingly acknowledged as a valid and appropriate indicator of service need and intervention outcomes health related quality of life measures including objective and subjective assessments of health are particularly useful for evaluating efforts in the prevention of disabling
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