Page 1 of 7
Epworth Sleepiness Scale & EQ-5D (QA)
Quality of life survey (ED-5Q)
As part of the Beyondbmi service, we measure any changes to your quality of life as you progress through the program.
Please complete this short survey
Please select the ONE box that best describes your
Mobility
TODAY
*
Please select the ONE box that best describes your Mobility TODAY
A
I have no problems walking about
B
I have slight problems walking about
C
I have moderate problems walking about
D
I have severe problems walking about
E
I am unable to walk about
Next