SHEEHAN DISABILITY SCALE

A BRIEF, PATIENT RATED, MEASURE OF DISABILITY AND IMPAIRMENT

WORK* / SCHOOL

The symptoms have disrupted your work / school work:

Not at all

 

Mildly

 

 

Moderately

 

 

Markedly

 

Extremely

0

1

2

3

4

5

6

7

8

9

10

I have not worked /studied at all during the past week for reasons unrelated to the disorder. * Work includes paid, unpaid volunteer work or training

SOCIAL LIFE

The symptoms have disrupted your social life / leisure activities:

Not at all

 

Mildly

 

 

Moderately

 

 

Markedly

 

Extremely

0

1

2

3

4

5

6

7

8

9

10

FAMILY LIFE / HOME RESPONSIBILITIES

The symptoms have disrupted your family life / home responsibilities:

Not at all

 

Mildly

 

 

Moderately

 

 

Markedly

 

Extremely

0

1

2

3

4

5

6

7

8

9

10

DAYS LOST

On how many days in the last week did your symptoms cause you to miss school or work or leave

you unable to carry out your normal daily responsibilities? _________

DAYS UNDERPRODUCTIVE

On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work, your productivity was reduced? _________

Copyright 1983 David V. Sheehan. All rights reserved.