Health & Daily Living Form


Author: Rudolf H. Moos

The Health & Daily Living Form (HDLF) is a structured assessment for patient and community groups that assesses health related factors such as alcohol consumption, substance abuse, and depression. It is a structured assessment procedure that can be administered either as an interview or as a questionnaire, and can be used with both patient and community groups.

The HDLF includes items covering socio-demographic factors as well as sets of indices that tap health-related and social functioning, chronic and acute life stressors, social resources, and help-seeking responses. While some of the indices are adapted from the work of other investigators, newer indices have been developed that may prove useful to investigators interested in the process of psychosocial adaptation among psychiatric and medical populations and among community populations.

The HDLF has two forms: the Adult Form (ages 18 and older) and the Youth Form (ages 12-18).

Copyright © 1984, 1990 by Rudolf H. Moos

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  • $50.00
    Includes details on reliability, validity, scoring, etc. and a review-only copy of the HDLF form. PDFs are not refundable.
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  • $2.50
    Minimum purchase of 50. Allows you to administer the HDLF as an online survey via a non-Mind Garden survey system or as a paper and pencil survey. The downloadable PDF file includes one copy of the HDLF, scoring key, and permission to administer the HDLF up to the quantity purchased. The PDF is non-refundable.
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  • $60.00
    Includes details on reliability, validity, scoring, etc. and a review-only copy of the HDLF form. This is a paper product. The manual will be printed, bound, and shipped to you (FedEx shipping costs apply).
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Features of the HDLF

Purpose: Assess health-related factors such as alcohol consumption, drinking problems, and depression.


Adult Form = 91 items
Youth Form = 14 items

Average completion time:

Adult Form = 15-20 minutes
Youth Form = 5-10 minutes

Target population:

Adult Form = ages 18 and older
Youth Form = ages 12-18

Administration: For individual or group administration

Uses of the HDLF

  • Health research
  • Depression research
  • Recovery and relapse research of alcoholic patients
  • Program evaluation


Individual Functioning

Stressful Life Circumstances

Social Network Resources

Help-Seeking Responses

Topics Assessed

Part 1: Some Facts About You
Part II: Employment History and Current Status
Part III: Your Health in the Last 12 Months
Part IV: Your Health in the Last Month
Part V: Events in the Past Year
Part VI: Your Friends and Family
Part VII: Facts About Your Home and Children

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