Work Productivity and Activity Impairment Questionnaire:

Specific Health Problem V2.0 (WPAI:SHP)*

The following questions ask about the effect of your PROBLEM on your ability to work and perform
regular activities. Please fill in the blanks or circle a number, as indicated.
1) Are you currently employed (working for pay)?
If NO, check "NO" and skip to question 6.

_____NO ____ YES

The next questions are about the past seven days, not including today.
2) During the past seven days, how many hours did you miss from work because of
problems associated with your PROBLEM? Include hours you missed on sick days, times you went in
late, left early, etc., because of PROBLEM. Do not include time you missed to participate in this
study.
_____ HOURS
3) During the past seven days, how many hours did you miss from work because of any other reason,
such as vacation, holidays, time off to participate in this study?
______HOURS
4) During the past seven days, how many hours did you actually work?
______HOURS (If "0", skip to question 6)
5) During the past seven days, how much did PROBLEM affect your productivity while you were
working?
Think about days you were limited in the amount or kind of work you could do, days you
accomplished less than you would like, or days you could not do your work as carefully as usual. If
PROBLEM affected your work only a little, choose a low number. Choose a high number if
PROBLEM affected your work a great deal.
Consider only how much PROBLEM affected
productivity while you were working.
PROBLEM had
no effect on work

_________________________________________ PROBLEM completey

0 1 2 3 4 5 6 7 8 9 10 prevented me from
working
CIRCLE A NUMBER

6) During the past seven days, how much did PROBLEM affect your ability to do your regular daily
activities, other than work at a job?
By regular activities, we mean the usual activities you do, such as work around the house, shopping,
child care, exercising, studying, etc. Think about times you were limited in the amount or kind of
activities you could do and times you accomplished less than you would like. If PROBLEM affected
your activities only a little, choose a low number. Choose a high number if PROBLEM affected your
activities a great deal.
Consider only how much PROBLEM affected your ability
to do your regular daily activities, other than work at a job.
PROBLEM had no
PROBLEM completely
effect on my daily _________________________________________ prevented me from
activities

CIRCLE A NUMBER

10 doing my daily activities

Updated August 18, 2010

Recent analyses suggest that the accuracy of responses to questions 5 and 6 by some subjects
in the WPAI:SHP might be improved by repeating the instructions directly above the scales.
Version 2.0 has these instructions, but in all other respects is the same as the original
WPAI:SHP.
To adapt the WPAI to a specific disease/ condition, replace PROBLEM throughout with the
name of the disease/ condition. To use the WPAI in clinical practice, and not as part of a
study or clinical trial, use the Clinical Practice Version (CPV) which omits reference to
participation in the study in questions 2 and 3.
Printable Version WPAI:SHP English (US) 2.0
Printable Version WPAI:SHP English (US) 2.0, Clinical Practice Version
(For monitoring in clinical practice and not for use in a study or clinical trial.)
(For disease-specific versions in use, go to Translations.)
*Reilly MC, Zbrozek AS, Dukes E: The validity and reproducibility of a work productivity
and activity impairment measure. PharmacoEconomics 1993; 4(5):353-365

The WPAI yeilds four types of scores:

1. Absenteeism (work time missed)
2. Presenteesism (impairment at work / reduced on-the-job effectiveness)
3. Work productivty loss (overall work impairment / absenteeism plus presenteeism)
4. Activity Impairment
WPAI:GH/SHP
The sum of specific health problem impairment and impairment due to other health reasons is equal to
impairment due to all health reasons. WPAI outcomes are expressed as impairment percentages, with
higher numbers indicating greater impairment and less productivity, i.e., worse outcomes, as follows:
WPAI:GH/SHP

Questions:
1 = currently employed
2a = hours missed due to specified problem
2b = hours missed due to other health problems
2c = hours missed other reasons
3 = hours actually worked
4a = degree problem affected productivity while working
4b = degree other health problems affected productivity while working
5a = degree problem affected regular activities
5b = degree other health problems affected regular activities
Scores:
Multiply scores by 100 to express in percentages.
Percent work time missed due to problem: Q2a/(Q2a+Q2b+Q3)
Percent impairment while working due to problem: Q4a/10
Percent overall work impairment due to problem:
Q2a/(Q2a+Q2b+Q3) + {(1-(Q2a+Q2b)/(Q2a+Q2b+Q3)) x Q4a/10
Percent activity impairment due to problem: Q5a/10
Percent work time missed due to all health: (Q2a+Q2b)/(Q2a+Q2b+Q3)
Percent impairment while working due to all health: (Q4a+Q4b)/10
Percent overall work impairment due to all health:
(Q2a+Q2b)/(Q2a+Q2b+Q3) + {(1-(Q2a+Q2b)/(Q2a+Q2b+Q3)) x (Q4a+Q4b)/10
Percent activity impairment due to all health: (Q5a+Q5b)/10

WPAI:SHP
WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater
impairment and less productivity, i.e., worse outcomes, as follows:
Questions:
1 = currently employed
2 = hours missed due to specified problem
3 = hours missed other reasons
4 = hours actually worked
5 = degree problem affected productivity while working
6 = degree problem affected regular activities
Scores:
Multiply scores by 100 to express in percentages.
Percent work time missed due to problem: Q2/(Q2+Q4)
Percent impairment while working due to problem: Q5/10
Percent overall work impairment due to problem:
Q2/(Q2+Q4)+[(1-(Q2/(Q2+Q4)))x(Q5/10)]
Percent activity impairment due to problem: Q6/10