Quality of Life Questionnaire – FORMIDABLE FORMS action email content

New PVQ email info links

How to cope with death the first time you lose someone close – Chicago Tribune
Bereavement | Psychology Today
Grief: Coping with the loss of your loved one
Coping with the Death of a Friend | Psychology Today
7 Self-Care Essentials While Grieving the Death of a Pet | Psychology Today
Coping with the loss of a pet
Why We Need to Take Pet Loss Seriously – Scientific American
ER Trip May Point to Other Issues for Older Adults
Top 10 Reasons Seniors Go to the ER
Falls in the Elderly – Geriatrics – Merck Manuals Professional Edition
Falls in the Elderly – – American Family Physician
What Causes Falls in the Elderly? How Can I Prevent a Fall? – American Family Physician
Falls in the Elderly Statistics | NCOA
Deaths From Falls Surge for Elderly
The Psychological Effect of a Hospital Stay on Seniors
After Hospitalization, Mental Trouble for Elderly Patients – The New York Times
For elderly patients, hospital stays often worsen disabilities | PBS NewsHour
The transition from hospital to rehab or home | Best of Care
Understanding Physical Therapy for Seniors
4 Types of Physical Therapy for Seniors | ASC Blog
Physical Therapy a Boon for Seniors
Physical Therapy for Seniors | Elderly Physical Therapy Benefits
Drug-Related Problems in Older Adults – Geriatrics – Merck Manuals Professional Edition
Medications and Older Adults
3 Reasons Why Seniors Aren’t Taking Medication as Prescribed and How to Help – DailyCaring
The Top 6 Reasons Elderly People Don’t Take Medication
When Should Older Adults Stop Driving?
Assistive Technology Helps People Age in Place – Next Avenue
Geriatric Assistive Devices – – American Family Physician
A Moving Concern: Transitional Trauma | HuffPost
Is Surgery Right for Your Older Loved One? | Patient Advice | US News
Study: Frailty in seniors raises mortality risk related to elective surgery – Chicago Tribune
Avoiding Surgery in the Elderly – The New York Times
Elderly Patients and Surgical Risk
Emergency Rooms Are No Place for the Elderly – The New York Times
Emergency! Yes? No. Urgent Care Centers are on the Rise, Filling in the Care Gap for Elders | American Society on Aging
Medical Tests in your 60s and Up
Top 10 Blood Tests for Older Adults: What to Know

Current

Events you experienced recently

[if 571 equals=”Yes”]Called your PCP office – check out Doctor Visit Guide – Well Guides – The New York Times  for information that may help. [/if 515]

[if 574 equals=”Yes”]Called a specialist office – check out Many Patients Don’t Pursue Referrals – ABC News for information that may help. [/if 515]

[if 515 equals=”Yes”]Car accident – check out Senior Driving and Older Drivers for information that may help. [/if 515]

[if 554 equals=”Yes”]Death of a spouse – check out Mourning the Death of a Spouse for information that may help. [/if 554]

[if 568 equals=”Yes”]New non-prescription medication or supplement – check out Dietary Supplements for information that may help. [/if 568]

Issues that are significant problems or intolerable

[if 590 equals=”Significant problem”]Anxiety/stress – check out Anxiety & Older Adults, Elder Abuse, and Crimes Against Seniors for information that may help. [/if 590]
[if 590 equals=”Intolerable”]Anxiety/stress – check out Anxiety & Older Adults, Elder Abuse, and Crimes Against Seniors for information that may help.[/if 590]

[if 530 equals=”Significant problem”]Caring for someone else – check out 7 Tips to Avoid Caregiver Burnout for information that may help. [/if 530]
[if 530 equals=”Intolerable”]Caring for someone else – check out 7 Tips to Avoid Caregiver Burnout for information that may help. [/if 530]

[if 523 equals=”Significant problem”]Chest pain or pressure – check out Heart Health for information that may help.[/if 523]
[if 523 equals=”Intolerable”]Chest pain or pressure – check out Heart Health for information that may help.[/if 523]

[if 524 equals=”Significant problem”]Constipation – check out Concerned About Constipation? for information that may help.[/if 524]
[if 524 equals=”Intolerable”]Constipation – check out Concerned About Constipation? for information that may help.[/if 524]

[if 526 equals=”Significant problem”]Difficulty walking – check out Gait and Balance Disorders in Older Adults for information that may help. [/if 526]
[if 526 equals=”Intolerable”]Difficulty walking – check out Gait and Balance Disorders in Older Adults for information that may help. [/if 526]

[if 543 equals=”Significant problem”]Dizziness – check out Dizziness and Vertigo for information that may help. [/if 543]
[if 543 equals=”Intolerable”]Dizziness – check out Dizziness and Vertigo for information that may help. [/if 543]

[if 898 equals=”Significant problem”]Fear of death – check out 6 Positive Ways To Overcome Your Fear Of Death – Huffington Post for information that may help. for information that may help. [/if 898]
[if 898 equals=”Intolerable”]Fear of death – check out 6 Positive Ways To Overcome Your Fear Of Death – Huffington Post for information that may help. for information that may help. [/if 898]

[if 542 equals=”Significant problem”]Fear of disability or being a burden – check out Moving Past Your Fear of Being a Burden for information that may help. [/if 542]
[if 542 equals=”Intolerable”]Fear of disability or being a burden – check out Moving Past Your Fear of Being a Burden for information that may help. [/if 542]

[if 546 equals=”Significant problem”]Fear of falling – check out Prevent Falls and Fractures for information that may help.[/if 546]
[if 546 equals=”Intolerable”]Fear of falling – check out Prevent Falls and Fractures for information that may help.[/if 546]

[if 592 equals=”Significant problem”]Indigestion/nausea – check out Indigestion for information that may help. [/if 592]
[if 592 equals=”Intolerable”]Indigestion/nausea – check out Indigestion for information that may help. [/if 592]

[if 721 equals=”Significant problem”]Loneliness/boredom – check out Easing Old People’s Loneliness Can Help Keep Them Healthy – NPR for information that may help. [/if 721]
[if 721 equals=”Intolerable”]Loneliness/boredom – check out Easing Old People’s Loneliness Can Help Keep Them Healthy – NPR for information that may help. [/if 721]

[if 525 equals=”Significant problem”]Low energy – check out Fatigue in Older Adults for information that may help.[/if 525]
[if 525 equals=”Intolerable”]Low energy – check out Fatigue in Older Adults for information that may help.[/if 525]

[if 529 equals=”Significant problem”]Low mood – check out Depression In Older Adults for information that may help. [/if 529]
[if 529 equals=”Intolerable”]Low mood – check out Depression In Older Adults for information that may help. [/if 529]

[if 720 equals=”Significant problem”]Managing your health problems – check out Health Screening for information that may help. [/if 720]
[if 720 equals=”Intolerable”]Managing your health problems – check out Health Screening for information that may help. [/if 720]

[if 880 equals=”Significant problem”]Managing your medications – check out Safe Use of Medicines and Saving Money on Medicines for information that may help. [/if 880]
[if 880 equals=”Intolerable”]Managing your medications – check out Safe Use of Medicines and Saving Money on Medicines for information that may help. [/if 880]

[if 528 equals=”Significant problem”]Memory loss – check out Do Memory Problems Always Mean Alzheimer’s Disease? and Basics of Alzheimer’s Disease and Dementia for information that may help.[/if 528]
[if 528 equals=”Intolerable”]Memory loss – check out Do Memory Problems Always Mean Alzheimer’s Disease? and Basics of Alzheimer’s Disease and Dementia for information that may help.[/if 528]

[if 719 equals=”Significant problem”]Overall health/quality of life – check out Quality of life – Wikipedia and 10 Things You Can Do Today to Improve Your Life – Psychcentral for information that may help. [/if 719]
[if 719 equals=”Intolerable”]Overall health/quality of life – check out Quality of life – Wikipedia and 10 Things You Can Do Today to Improve Your Life – Psychcentral for information that may help. [/if 719]

[if 522 equals=”Significant problem”]Pain – check out Pain: You Can Get Help for information that may help.[/if 522]
[if 522 equals=”Intolerable”]Pain – check out Pain: You Can Get Help for information that may help.[/if 522]

[if 509 equals=”Significant problem”]Poor appetite – check out Healthy Eating and Taking Care of Your Teeth and Mouth for information that may help.[/if 509]
[if 509 equals=”Intolerable”]Poor appetite – check out Healthy Eating and Taking Care of Your Teeth and Mouth for information that may help.[/if 509]

[if 527 equals=”Significant problem”]Poor sleep – check out A Good Night’s Sleep and Aging Changes In Sleep for information that may help.[/if 527]
[if 527 equals=”Intolerable”]Poor sleep – check out A Good Night’s Sleep and Aging Changes In Sleep for information that may help.[/if 527]

[if 881 equals=”Significant problem”]Sex life – check out Sexuality in Later Life for information that may help. [/if 881]
[if 881 equals=”Intolerable”]Sex life – check out Sexuality in Later Life for information that may help. [/if 881]

[if 531 equals=”Significant problem”]Shortness of breath – check out Breathing Problems and COPD for information that may help.[/if 531]
[if 531 equals=”Intolerable”]Shortness of breath – check out Breathing Problems and COPD for information that may help.[/if 531]

[if 533 equals=”Significant problem”]Unintentional weight loss – check out Unintentional Weight Loss in Older Adults for information that may help determine what’s going on. [/if 533]
[if 533 equals=”Intolerable”]Unintentional weight loss – check out Unintentional Weight Loss in Older Adults for information that may help determine what’s going on. [/if 533]

[if 547 equals=”Significant problem”]Unsteadiness – check out Gait and Balance Disorders in Older Adults for information that may help. [/if 547]
[if 547 equals=”Intolerable”]Unsteadiness – check out Gait and Balance Disorders in Older Adults for information that may help. [/if 547]

[if 532 equals=”Significant problem”]Urine leakage/incontinence – check out Urinary Incontinence in Older Adults for information that may help.[/if 532]
[if 532 equals=”Intolerable”]Urine leakage/incontinence – check out Urinary Incontinence in Older Adults for information that may help.[/if 532]

[if 899 equals=”Significant problem”]Worries/regrets – check out and The 25 Biggest Regrets In Life. What Are Yours? – Forbes and The Most Surprising Regret Of The Very Old — And How You Can Avoid It – Huffington Post for information that may help. [/if 899]
[if 899 equals=”Intolerable”]Worries/regrets – check out and The 25 Biggest Regrets In Life. What Are Yours? – Forbes and The Most Surprising Regret Of The Very Old — And How You Can Avoid It – Huffington Post for information that may help.[/if 899]

Your questionnaire responses

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