The Quality of Life Index for Adults (A-QLI) Provider Questionnaire is a parallel form to the A-QLI, which is optional in its use or can be used when clients are aphasic or otherwise unable to complete a form for themselves. It can be a very useful tool in clinical paractice primarily because it is easy to assume more concordance with clients than actually exists. Use of the Provider Questionnaire allows clinicians to understand the reality of the commonality or discordance that exists. The domains for the Quality of Life Index for Older Adults Provider Questionnaire closely parallel those of the client version with some differences and are as follows:

DOMAINS

Physical Health

This domain includes questions that ask the clinician to rate the person’s physical health, including use of medications for health reasons. Other questions relate to the person’s capacity to perform activies that might be done on a typical day.

Self Care

This section focuses on the clinician’s perceived ability of the person to perform accustomed functions and activities of daily living including the standard late loss ADL’s (i.e. eating, dressing, toileting) and higher functioning ADL’s (laundry, using transportation, cooking) needed for community living.

Pain

Questions in this domain ask the clinician to rate the degree of pain the person may be in and the degree to which the pain has interfered with normal activities. Questions in this domain also inquire about use of pain medication and how adequate pain is controlled.

Social Relations / Support

These questions measure the client’s social relations and support as seen by the clinician.

Psychological Well-Being

This domain reflects the psychological state of the older adult as determined by the clinician.

Goal Attainment