• Code participant health problems and syndromes diagnostic of, and related to, HIV disease.
• Code general health levels and issues.
• Code physical symptoms and problems.
• Measure Health-Related Quality of Life

Content Domain - Health items of major relevance to HIV disease. Includes CDC indicators of stage of HIV disease. May be used for repeatedly assessing progression of HIV disease.

Operational Data Items

• Page 1: ID Letters/ID Numbers, Site, Sub-Provider, Date, Staff Code, Client Gender, How Questionnaire is Completed, General Health, Overall Health, Health Kept You From Daily Activities, Health Interfered with Social Activities, Health Interfered with Certain Types of Work, Bodily Pain Interfered with Normal Work, Health Ratings (two items), Health As A Limiting Factor (four items: Vigorous Activities, Moderate Activities, Walking or Climbing Uphill, and Eating, Dressing, Bathing, or Using the Toilet), How Much of the Time Respondent Affected by Issues During the Past 4 Weeks (nine items: Limited by Physical Health, Attention Problems, Reasoning Problems, Feeling Calm, Feeling Downhearted, Feeling Tired, Having Enough Energy, Been Happy, Forgetting Things), Amount of Bodily Pain. 
• Page 2: ID Letters/ID Numbers, Site, Sub-Provider, Date, Staff Code, Client Gender, Number of Days Illness, Treatment, or Personal Problem Interfered (three items: Cut Down on Activities, Stayed in Bed, Missed Work), Work Last Week, Hours Worked Last Week, Personal Income, Number of Visits to Doctors, Number of Visits By Doctors, Number of Telephone Contacts with Doctors, Number of Nights at Hospital, Symptom Checklist (13 symptoms).

Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1997). Module 17: Brief Health and Functioning Questionnaire. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Source Citation - Bozzette, S. A., Hays, R. D., Berry, S. H., Kanouse, D. E., & Wu, A. W. (1995). Derivation and psychometric properties of a brief health-related quality of life instrument for HIV disease.  Journal of Acquired Immunodeficiency Syndromes and Retrovirology, 8, 253-265.