Health questionnaire descriptors

Question 11 – Learning how to do tasks

• Cannot learn how to do a simple task, such as setting an alarm clock (15 points).
• Cannot learn anything beyond a simple task such as setting an alarm clock (9 points).
• Cannot learn anything beyond a moderately simple task such as the steps involved in operating a washing machine to clean clothes (6 points).

Question 12 – Awareness of hazards or danger

Reduced awareness of everyday hazards leads to a significant risk of injury to self or others, or damage to property or possessions requiring supervision to maintain safety:                     

• The majority of the time (15 points).
• Frequently (9 points).
• Occasionally (6 points).

Question 13 - Initiating Actions (planning, organisation, problem solving, prioritising or switching tasks)

Cannot, due to impaired mental function, reliably initiate or complete at least two personal actions         

• Always (15 points).
• Most of the time (9 points).
• Frequently (6 points).

Question 14 - Coping with change

• Cannot cope with any change to the extent that day-to-day life cannot be managed (15 points).
• Cannot cope with minor planned change to the extent that day-to-day life is significantly more difficult (9 points).
• Cannot cope with minor unplanned change to the extent that day-to-day life is significantly more difficult (6 points).

Question 15 - Getting about

• Cannot get to any place outside the claimant’s home with which the claimant is familiar (15 points).
• Cannot get to a familiar specified place without being accompanied (9 points).
• Cannot get to an unfamiliar specified place without being accompanied (6 points).

Question 16 - Coping with social situations

• Engaging in social contact is always impossible due to difficulty in relating to others / significant distress (15 points).
• Social contact with an unfamiliar person is always impossible due to difficulty relating to others / significant distress to the individual (9 points).
• Social contact with an unfamiliar person is not possible most of the time due to difficulty relating to others / significant distress to the individual (6 points).

Question 17 - Behaving appropriately with other people

Has uncontrollable episodes of aggressive or disinhibited behaviour that would be unreasonable in any workplace

• On a daily basis (15 points).
• Frequently (15 points).
• Occasionally (9 points).