SINGLE MEASURE

Community OR care home users - current physical and mental state

Question(s)	By placing a tick in one box in each group below, please indicate which statements best describe your own health state today. a. Pain or discomfort b. Anxiety or depression
Response scale	Responses for a. I have no pain or discomfort I have moderate pain or discomfort I have extreme pain or discomfort Responses for b. I am not anxious or depressed I am moderately anxious or depressed I am extremely anxious or depressed
Participant age	18 - 120
Starts	January 2021
Ends	January 2022
Provision OR Receipt OR Need?	Receipt;
Informant:	Participant
Multiple rater?	No
Reporting Term	Currently
Standard instrument?	No
Measure ID	ASCS-844