Health Assessment Questionnaire (HAQ) Calculator

For each item, please indicate the response that best describes your abilities over the past 8 days.

Dress and get ready
Are you able to get dressed, including tying your shoelaces and
Are you able to wash your hair?
Get up
Are you able to get up from a chair?
Are you able to get into bed and get out of bed?
Eat
Are you able to cut your meat?
Are you able to lift a full cup or glass to your mouth?
Can you open a carton of milk or fruit juice?
To walk
Are you able to walk on flat ground outdoors?
Are you able to climb 5 steps?
Check any assistive devices used for any of these activities
Check all categories for which you need the help of another person
Hygiene
Are you able to wash and dry yourself completely?

Are you able to take a bath?
Can you sit down and get up from a toilet seat?
Atteindre et attraper un objet
Are you able to reach and pick up an object weighing 2.5 kg from above your head?
Are you able to bend down to pick up an item of clothing from the floor?
Grip
Are you able to open a car door?
Can you unscrew the lid of a jar that has already been opened once?
Can you open and close a faucet?
Other activites
Are you able to do your shopping?

Are you able to get in and out of the car?
Are you able to do household chores such as vacuuming or doing light gardening?
Check any assistive devices used for any of these activities
Check all categories for which you need the help of an other person



Result :

What is the Health Assessment Questionnaire (HAQ)?

The Health Assessment Questionnaire (HAQ) is a widely used tool for assessing an individual's ability to perform daily activities. It was originally developed to evaluate functional disability in patients with rheumatoid arthritis, but it is now used for a variety of conditions that affect physical function and mobility.

The HAQ consists of a series of questions that measure a person's ability to complete everyday tasks such as dressing, eating, walking, and hygiene. Each question is designed to assess the level of difficulty a person experiences in performing these activities, ranging from no difficulty to being completely unable to perform the task. The results help determine the extent of functional impairment and guide healthcare professionals in treatment planning.

By tracking functional ability over time, the HAQ serves as a useful tool for monitoring disease progression, evaluating treatment effectiveness, and identifying the need for assistive devices or additional support. This questionnaire plays a crucial role in both clinical and research settings, helping medical professionals improve patient care and quality of life.

Purpose of the HAQ Calculator

The HAQ Calculator is an online tool designed to simplify the assessment process by automatically calculating a person's functional ability score based on their responses to the questionnaire. This score provides an objective measure of physical limitations and helps users better understand their current level of function.

The primary objectives of the HAQ Calculator include:

  • Evaluating physical function: The calculator helps assess how well an individual can perform essential daily activities, such as dressing, walking, and eating.
  • Identifying functional limitations: By scoring responses, the tool highlights areas where a person experiences difficulty, which may indicate the need for medical attention or lifestyle adjustments.
  • Monitoring health conditions: Individuals with chronic illnesses such as arthritis, osteoporosis, or muscular disorders can use the HAQ Calculator to track changes in their physical abilities over time.
  • Assisting healthcare professionals: Doctors and physical therapists can use the HAQ score to tailor treatment plans and recommend appropriate therapies or assistive devices.
  • Providing insights for caregivers: Family members and caregivers can use the results to understand the level of support required for a loved one facing mobility or physical function challenges.

By using the HAQ Calculator, individuals can gain a better understanding of their functional abilities and take proactive steps to maintain or improve their quality of life.

Who Can Use This Calculator?

The HAQ Calculator is designed for a wide range of users, including individuals with functional limitations, caregivers, healthcare professionals, and researchers. Below are some of the key groups who can benefit from this tool:

1. Individuals with Mobility or Functional Limitations

Anyone experiencing difficulty in performing daily tasks due to age, injury, or medical conditions such as arthritis, multiple sclerosis, or muscular dystrophy can use the HAQ Calculator to assess their physical function. By regularly using the calculator, they can track their abilities over time and make informed decisions about their healthcare needs.

2. People Recovering from Injury or Surgery

Individuals recovering from surgery, fractures, or other injuries that affect movement can use the HAQ Calculator to monitor their progress. It helps them and their healthcare providers determine the effectiveness of rehabilitation efforts and identify areas requiring additional therapy or support.

3. Healthcare Professionals

Doctors, physiotherapists, occupational therapists, and other healthcare providers can use the HAQ Calculator to evaluate a patient's functional abilities objectively. The results assist in diagnosing mobility impairments, creating customized treatment plans, and measuring patient progress over time.

4. Caregivers and Family Members

Caregivers who assist individuals with physical limitations can use the HAQ Calculator to better understand their loved one's capabilities and needs. The results can guide decisions regarding assistive devices, home modifications, and caregiving support.

5. Researchers and Medical Professionals

Researchers studying physical function, aging, or chronic conditions can use the HAQ Calculator as a standardized tool for assessing mobility limitations in study participants. It provides valuable data for clinical trials and long-term health studies.

Overall, the HAQ Calculator is a valuable resource for anyone looking to evaluate physical function, track changes over time, and make informed decisions about healthcare and daily living support.

How to Use the HAQ Calculator

The Health Assessment Questionnaire (HAQ) Calculator is designed to assess a person’s ability to perform daily activities by providing a simple and interactive way to measure physical function. Follow the instructions below to complete the questionnaire and interpret the results.

Instructions for Completing the Questionnaire

To ensure accurate results, follow these steps when filling out the HAQ Calculator:

  1. Read each question carefully: The questionnaire consists of multiple sections that assess different aspects of daily living, such as dressing, eating, hygiene, mobility, and gripping objects.
  2. Select the most appropriate response: For each question, choose the option that best reflects your ability to perform the activity over the past 8 days.
  3. Indicate assistive device use: If you require assistive devices such as a cane, wheelchair, or dressing aids, check the appropriate box to reflect this.
  4. Specify help from another person: If you rely on someone else for assistance in any category, check the corresponding box.
  5. Submit your responses: Once all questions are answered, click the "Calculate" button to obtain your HAQ score.

Completing the questionnaire should take only a few minutes. Answer as accurately as possible to ensure meaningful results.

Understanding the Scoring System

The HAQ Calculator assigns a score based on your responses. The scoring system is structured as follows:

  • Each question is rated from 0 to 3: The scores indicate different levels of difficulty in performing daily tasks.
  • Assistive devices increase the score: If you use aids or need help from another person, the score for that activity may be adjusted to reflect your level of dependence.
  • Calculation of the final score: The highest score from each section is averaged to produce an overall HAQ score.

The final HAQ score ranges from 0 to 3:

  • 0 – No functional impairment: You can perform all activities without difficulty.
  • 1 – Mild impairment: You experience some difficulty but can still perform tasks independently.
  • 2 – Moderate impairment: You need significant effort or assistance to complete tasks.
  • 3 – Severe impairment: You are unable to perform certain tasks without assistance.

The higher the score, the greater the functional limitation.

Meaning of Response Options

Each question in the HAQ Calculator offers the following response options to assess your ability to perform daily activities:

Response Option Meaning
0 - Without any difficulty You can perform the activity normally without any problems or assistance.
1 - With some difficulty You can perform the task but experience mild challenges, such as stiffness or mild pain.
2 - With great difficulty The task is very challenging and requires significant effort, adjustments, or breaks.
3 - Unable to do so You cannot perform the task at all, even with assistance or assistive devices.
Not assessable The activity does not apply to you, or you were unable to attempt it.

By understanding these response options, you can provide accurate answers that reflect your real-life abilities.

Once you have completed the questionnaire and received your score, you can use the results to track your physical function over time and discuss any concerns with a healthcare provider.

Assessment Categories

The Health Assessment Questionnaire (HAQ) Calculator evaluates various aspects of physical function through different categories. Each category represents essential daily activities that help assess mobility, dexterity, and overall independence.

Dressing & Grooming

This section evaluates your ability to get dressed and maintain personal grooming without assistance.

  • Ability to dress and tie shoelaces: Assesses whether you can put on clothes, fasten buttons, and tie shoelaces without difficulty.
  • Washing hair: Measures how easily you can wash and rinse your hair, which requires arm mobility and grip strength.

Getting Up

This category focuses on your ability to rise from a seated or lying position.

  • Rising from a chair: Determines if you can stand up from a seated position without support.
  • Getting in and out of bed: Evaluates how easily you can transition from lying down to standing up.

Eating

This section assesses your ability to handle food and drinks independently.

  • Cutting food: Measures hand coordination and strength required to use a knife.
  • Lifting a glass: Assesses your ability to grasp and lift a full cup or glass.
  • Opening a milk or juice carton: Evaluates dexterity and hand strength needed to open containers.

Walking & Mobility

Walking and movement are essential for daily activities. This category assesses how well you move in different environments.

  • Walking on flat surfaces: Determines if you can walk indoors or outdoors without difficulty.
  • Climbing stairs: Assesses your ability to ascend and descend at least five steps.

Hygiene & Bathing

This section evaluates your ability to maintain personal hygiene and perform essential self-care routines.

  • Washing and drying body: Measures whether you can bathe or shower without assistance.
  • Taking a bath: Assesses your ability to enter and exit a bathtub safely.
  • Sitting and getting up from a toilet seat: Determines if you can use the toilet without support.

Reaching & Gripping

Hand strength and flexibility are important for many daily tasks. This category evaluates how well you can grip and reach objects.

  • Reaching for an object overhead: Assesses your ability to extend your arms to retrieve an item from a high shelf.
  • Picking up an item from the floor: Determines if you can bend down and retrieve an object.
  • Opening a car door: Evaluates your ability to grip and pull a car door handle.
  • Unscrewing a jar lid: Measures hand strength required to open a pre-opened jar.
  • Turning a faucet on and off: Determines if you can control a standard faucet.

Other Activities

Additional activities that contribute to independent living are included in this section.

  • Grocery shopping: Evaluates your ability to walk, carry, and manage shopping tasks.
  • Getting in and out of a car: Determines if you can safely enter and exit a vehicle.
  • Household chores: Assesses your ability to perform light cleaning, vacuuming, or gardening tasks.

By assessing these functional areas, the HAQ Calculator helps identify difficulties and provides insights into areas where additional support or intervention may be needed.

Assistive Devices and Help from Others

Some individuals may require assistive devices or help from others to perform daily activities. The HAQ Calculator considers the use of assistive aids and the need for personal assistance when calculating the final score. Understanding how these factors impact your functional ability can help in determining appropriate support options.

List of Assistive Devices

Assistive devices are tools designed to help individuals perform tasks that may be difficult due to physical limitations. The HAQ Calculator accounts for the use of the following common assistive devices:

  • Cane: Provides support for walking and balancing.
  • Crutches: Helps individuals with limited mobility move safely.
  • Wheelchair: Used for those who are unable to walk or experience significant mobility impairments.
  • Rollator: A wheeled walker that provides additional support for walking.
  • Dressing accessories: Includes tools like button hooks, long-handled shoehorns, and zipper pulls for easier dressing.
  • Specially adapted utensils: Includes lightweight or ergonomically designed cutlery to assist with eating.
  • Specially adapted chair: Designed for individuals with difficulty sitting or standing from regular chairs.
  • Raised toilet seat: Helps individuals who have trouble lowering or raising themselves from a standard toilet seat.
  • Bath handle or bar: Provides extra support when getting in and out of the bathtub.
  • Bath seat: Allows individuals to sit while bathing if standing is difficult.
  • Long-handled reacher: A tool that helps pick up objects from the floor or high shelves.
  • Jar openers: Assists with opening jars that have already been opened once.

Using these devices may improve independence and reduce strain on the body, helping individuals perform daily tasks more safely and efficiently.

Identifying Tasks That Require Assistance

In some cases, assistive devices alone may not be enough, and individuals may need help from another person to complete specific tasks. The HAQ Calculator allows users to indicate whether they require assistance for the following categories:

  • Dressing and grooming: Assistance with putting on clothes, fastening buttons, or tying shoelaces.
  • Getting up: Help with rising from a chair or getting in and out of bed.
  • Eating: Assistance with cutting food, lifting a glass, or using utensils.
  • Walking and mobility: Support needed for walking on flat ground, climbing stairs, or moving from one place to another.
  • Hygiene and bathing: Help with washing, drying, or getting in and out of the bathtub.
  • Reaching and gripping: Assistance with picking up objects, opening jars, or turning a faucet.
  • Other activities: Help with grocery shopping, household chores, or getting in and out of a car.

If you require frequent assistance in multiple categories, your HAQ score may indicate a higher level of functional limitation. This information can be useful for healthcare providers in recommending appropriate support services or therapies.

By tracking assistive device use and identifying areas where help is needed, the HAQ Calculator provides valuable insights into an individual's functional status and helps guide decisions about care and daily living adjustments.

Calculation & Results

The Health Assessment Questionnaire (HAQ) Calculator determines your functional ability score based on your responses. The score helps measure the extent of difficulty you experience in performing daily activities. Below is an explanation of how the HAQ score is calculated, how to interpret your results, and what steps you can take based on your score.

How the HAQ Score is Calculated

The HAQ score is determined by evaluating your responses to various activity-related questions. The calculation process involves the following steps:

  1. Assigning a score: Each response is given a value from 0 to 3 based on the level of difficulty:
    • 0 – No difficulty
    • 1 – Some difficulty
    • 2 – Great difficulty
    • 3 – Unable to perform the activity
  2. Identifying the highest score per category: The highest response in each category (e.g., dressing, getting up, eating) is selected.
  3. Adjusting for assistive devices and personal help: If you use assistive devices or need help from another person, the score in that category may be increased.
  4. Calculating the final HAQ score: The average of the highest scores from all categories is taken to determine the final HAQ score. The formula used is:

    Final HAQ Score = (Sum of highest scores in all categories) ÷ (Total number of assessed categories)

The result is a number between 0 and 3, which reflects your overall functional ability.

Interpreting Your Results

Once you receive your HAQ score, you can interpret it as follows:

HAQ Score Functional Status Explanation
0.0 - 0.5 Minimal or No Disability You can perform daily tasks independently with little to no difficulty.
0.6 - 1.0 Mild Disability You experience some challenges in daily activities but can still function independently.
1.1 - 2.0 Moderate Disability You face significant difficulty in several activities and may require assistive devices or help from others.
2.1 - 3.0 Severe Disability You struggle with most daily activities and often require assistance or special accommodations.

Higher scores indicate greater difficulty in performing daily activities, which may require medical attention, lifestyle modifications, or assistive support.

What to Do Next Based on Your Score

Depending on your HAQ score, here are some suggested next steps:

  • If your score is between 0.0 and 0.5: Maintain your current level of activity and stay physically active to prevent future mobility issues.
  • If your score is between 0.6 and 1.0: Monitor any changes in your ability and consider exercises or therapy to improve mobility.
  • If your score is between 1.1 and 2.0: You may benefit from assistive devices or medical consultations to enhance your daily function.
  • If your score is between 2.1 and 3.0: Seek professional help from a doctor, physiotherapist, or occupational therapist to explore treatment options and support strategies.

Regardless of your score, it is always beneficial to discuss your results with a healthcare professional to identify ways to maintain or improve your quality of life.

Frequently Asked Questions (FAQs)

1. What is the purpose of the HAQ Calculator?

The Health Assessment Questionnaire (HAQ) Calculator is designed to evaluate an individual’s ability to perform daily activities. It helps measure functional limitations, track changes over time, and guide healthcare professionals in making informed treatment decisions.

2. Who should use the HAQ Calculator?

The HAQ Calculator is suitable for individuals experiencing mobility challenges, those with chronic conditions such as arthritis, healthcare providers, caregivers, and researchers studying physical function and disability.

3. How long does it take to complete the HAQ questionnaire?

It usually takes about 5 to 10 minutes to answer all the questions. The time may vary depending on the user’s ability to assess their functional limitations accurately.

4. What kind of questions are included in the HAQ assessment?

The HAQ assessment includes questions related to daily activities such as dressing, getting up, eating, walking, hygiene, gripping objects, and performing household chores.

5. How is the HAQ score calculated?

The score is based on responses to multiple-choice questions, each rated from 0 (no difficulty) to 3 (unable to perform the task). The highest score in each category is averaged to determine the final HAQ score, with adjustments made for the use of assistive devices or the need for personal assistance.

6. What does my HAQ score mean?

  • 0.0 - 0.5: Minimal or no disability
  • 0.6 - 1.0: Mild disability
  • 1.1 - 2.0: Moderate disability
  • 2.1 - 3.0: Severe disability

Higher scores indicate greater difficulty in performing daily activities.

7. Can I use the HAQ Calculator to diagnose a medical condition?

No, the HAQ Calculator is not a diagnostic tool. It is used for assessing physical function and identifying limitations, but a healthcare professional should be consulted for medical diagnoses and treatment recommendations.

8. How often should I take the HAQ assessment?

If you are using the HAQ Calculator to monitor a health condition or recovery progress, you may take the assessment every few weeks or months. Discuss with your healthcare provider to determine the appropriate frequency.

9. What if my functional abilities change over time?

If your ability to perform daily activities improves or worsens, it’s important to retake the assessment and update your healthcare provider. Changes in HAQ scores can help guide adjustments in treatment plans and lifestyle modifications.

10. Can I use assistive devices while taking the HAQ assessment?

Yes, if you use assistive devices such as a cane, wheelchair, or dressing aids, you should indicate this in the questionnaire. The HAQ score will be adjusted accordingly to reflect your level of dependence on these aids.

11. What should I do if I receive a high HAQ score?

If your HAQ score suggests moderate or severe functional limitations, consider consulting a doctor or therapist to discuss treatment options, physical therapy, or the use of assistive devices to improve mobility and independence.

12. Is the HAQ Calculator useful for people without disabilities?

Yes, even individuals without diagnosed disabilities can benefit from the HAQ Calculator to assess their mobility and physical function. It can help identify early signs of functional decline and encourage proactive health management.

13. Is my data stored or shared when I use the HAQ Calculator?

No, the HAQ Calculator does not store or share personal data. It is a simple tool designed to provide immediate feedback based on your responses.

Disclaimer & Additional Information

The Health Assessment Questionnaire (HAQ) Calculator is a tool designed to assess functional ability based on user responses. However, it is important to understand its limitations and seek professional medical advice when necessary.

Medical Advice Disclaimer

The HAQ Calculator is not a medical diagnostic tool. It is intended for informational purposes only and should not be used as a substitute for professional medical evaluation, diagnosis, or treatment.

If you experience significant difficulties in performing daily activities or if your functional abilities change over time, it is recommended to consult a healthcare professional for a thorough medical assessment.

While the HAQ Calculator can help identify potential functional limitations, only a qualified doctor or therapist can provide a comprehensive evaluation and recommend appropriate medical interventions, therapies, or assistive devices.

How to Consult a Healthcare Professional

If your HAQ score indicates moderate to severe disability, or if you have concerns about your physical abilities, consider taking the following steps to consult a healthcare professional:

1. Schedule an Appointment

Contact a general practitioner (GP), physical therapist, occupational therapist, or specialist (e.g., rheumatologist, orthopedic doctor) to discuss your concerns. Mention any difficulties you are experiencing in daily activities.

2. Share Your HAQ Score

Bring a copy of your HAQ score results to your appointment. This will help the healthcare provider understand your level of functional ability and recommend appropriate tests or treatments.

3. Discuss Symptoms and Daily Challenges

Provide detailed information about your mobility issues, pain levels, and any tasks you find difficult. Mention if you use assistive devices or require help from others.

4. Explore Treatment Options

Your healthcare provider may suggest physical therapy, exercise programs, pain management strategies, or lifestyle modifications to improve your functional ability. In some cases, assistive devices or home modifications may be recommended.

5. Follow Up and Monitor Progress

If prescribed treatment, therapy, or medications, follow up regularly with your healthcare provider to track progress and adjust your care plan as needed.

6. Seek Support Services

If you require assistance with daily tasks, consider reaching out to rehabilitation centers, support groups, or community services that provide mobility aid programs and caregiving resources.

Remember: Early intervention and proper medical guidance can help improve mobility and maintain independence. If you have any concerns about your physical function, seek professional advice without delay.

References

The information provided in this HAQ Calculator is based on established research and guidelines related to functional assessments and physical disability measurement. Below are key references and sources that support the development and interpretation of the HAQ:

  • Fries, J. F., Spitz, P. W., & Young, D. Y. (1982). The dimensions of health outcomes: The Health Assessment Questionnaire (HAQ). Journal of Rheumatology, 9(5), 789-793.
  • Bruce, B., & Fries, J. F. (2003). The Stanford Health Assessment Questionnaire (HAQ): A review of its history, issues, progress, and documentation. Journal of Rheumatology, 30(1), 167-178.
  • Pincus, T., Summey, J. A., Soraci, S. A., Wallston, K. A., & Hummon, N. P. (1983). Assessment of patient satisfaction in activities of daily living using the HAQ. Arthritis & Rheumatology, 26(11), 1346-1353.
  • Bruce, B., & Fries, J. F. (2005). Longitudinal studies of functional disability in rheumatoid arthritis: The impact of HAQ scores. Clinical and Experimental Rheumatology, 23(5), S68-S73.
  • Wolfe, F., & Pincus, T. (1999). Usefulness of the Health Assessment Questionnaire in standard monitoring of patients with rheumatoid arthritis. Arthritis & Rheumatology, 42(9), 1797-1805.
  • National Institute for Health and Care Excellence (NICE). (2020). Guidelines for assessing functional disability in arthritis and musculoskeletal conditions. Available at: www.nice.org.uk
  • American College of Rheumatology (ACR). (2019). Recommendations for functional assessment tools in arthritis and chronic diseases. Available at: www.rheumatology.org

For more detailed information on the HAQ and its applications, consult peer-reviewed medical literature or seek guidance from a healthcare professional.