15 questions
1. How often do you see family?
2. Do people visit you regularly?
3. How often do you talk on the phone/video?
4. Do you have a companion (partner/spouse)?
5. How often do you do enjoyable activities?
6. Do you feel important to your family?
7. Do you get help with daily chores?
8. Do you participate in groups/clubs?
9. How often do you talk about needs/feelings?
10. Do you feel lonely even with people?
11. Can you talk about things that interest you (memories)?
12. Do you talk to people your age?
13. Does life have meaning now?
14. How does health impact social ability?
15. Overall life satisfaction?