Factor no. | AGQ item content | Ā | ICF codes assigned to items during pre-validation phase (theoretical structure) | Ā | Factor label |
---|---|---|---|---|---|
Factor 1 | Does your eyesight interfere with your recognising or meeting people? |
| b210 āseeingā functions, d9205 socialising. |
| Ā |
Do you have difficulty watching television? (appreciating the pictures). | d110 watching | ||||
Do you have difficulty reading subtitles for film or TV? | d166 reading | Seeing Functions: Participation | |||
Do you have difficulty reading traffic signs, street signs, or store signs? | d166 reading | ||||
Do you tend to confuse colours? | b21021 colour vision | ||||
Do you have difficulty finding something on a crowded shelf? | b210 implicit | ||||
Factor 2 | How much does your eyesight interfere with using public transport on your own? (for instance bus, train or plane). |
| b210 āseeingā functions, d4702 using public motorised transportation, e540 transportation services, systems & policies. |
| Ā |
Because of my eyesight I need help from family or friends. | b210 āseeingā functions, e310, e315, e320 (physical and emotional support from immediate family, extended family, friends). | Moving Around & Communication | |||
Because of my eyesight I have to rely on what other people tell me. | b210 āseeingā functions, d310-329 communication - receiving (non-verbal messages, written messages). | ||||
Because of your eyesight, do you have difficulty going out of your home alone? | b210 āseeingā functions, d4602 moving around outside the home & other buildings. | ||||
Do you use assistance to get around? (e.g. a guide dog, cane, companion). | d465 moving around using equipment, e115 products & technology for personal use in daily living. | ||||
Factor 3 | Do you worry about your eyesight getting worse? |
| b152 emotional function, b210 āseeingā functions |
| Ā |
Does your eyesight make you concerned or worried about coping with everyday life? | b152 emotional function, b210 āseeingā functions | ||||
Do you feel like a nuisance or a burden because of your eyesight? | b152 emotional function, b210 āseeingā functions | Emotional function | |||
Do you feel embarrassed because of your eyesight? | b152 emotional function, b210 āseeingā functions | ||||
Do you feel frustrated or annoyed because of your eyesight? | b152 emotional function, b210 āseeingā functions | ||||
Factor 4 | Because of your eyesight do you bump against other people in crowded areas? |
| b210 seeing functions, d4503 walking around obstacles |
| Walking around obstacles |
Do you bump into people or objects while walking? | d4503 walking around obstacles | ||||
Do you trip over objects? | d4503 walking around obstacles | ||||
Factor 5 | Does your eyesight deteriorate in bright light? |
| b21010 light sensitivity, e240 light (e.g. light intensity, quality and colour contrasts). |
| Ā |
Does your eyesight deteriorate in dim light? | b21010 light sensitivity, e240 light. | ||||
Do you have difficulty with walking down steps in dim light? | d4551 climbing (e.g. climbing steps, stairs or kerbs), e240 light. | Light | |||
Do you have difficulty adjusting from bright to dim light? (such as when going from daylight into a dark room) | e240 light | ||||
Do you have difficulty with adjusting to bright lights? | e240 light | ||||
Factor 6 | Because of my eyesight I need help from care services. |
| b210 āseeingā functions, e575 general social support services, systems & policies. |
| Ā |
Because of your eyesight, do you have difficulty entertaining friends and family in your home? | b210 āseeingā functions, d9205 socialising. | Seeing Functions: Domestic & Social Life | |||
When pouring liquid, do you have difficulty judging the level of the liquid in a container, such as the level of a cup of coffee? | d630 household tasks. | ||||
Do you have difficulty seeing how people react to things you say? | b210 āseeingā functions, d3150 communication - receiving non verbal messages (body gestures) | ||||
Factor 7 | In the last 12Ā months have you been anxious or worried about falling? (This may or may not be associated with a feeling of unsteadiness). |
| b152 emotional function, d4 mobility (general). |
| Mobility |
Have you fallen in the last 12Ā months? | d410-429 changing & maintaining body position. | ||||
Do you have difficulty with walking on uneven ground? | d4502 walking on different surfaces. |