APGAR SCORE

FAMILY FUNCTIONING. Helps define the degree of patient’s satisfaction

or dissatisfaction with family function
FAMILY APGAR QUESTIONNAIRE PART 1
Family APGAR questionnaire part1 Almost Some of Hardly
Always the time Ever
(2) (1) (0)
A I am satisfied that I can turn to my family for help
when something is troubling me
P I am satisfied with the way my family talks on
things with me & shares problems with me
G I am satisfied that my family accepts & supports
my wishes to take on new activities or directions

A I am satisfied with the way my family expresses

affection and responds to my emotion such as
anger, sorrow, and love
R I am satisfied with the way my family and I share
time together
• Informant: Index Patient

• TOTAL= 10
• INTERPRETATION= Highly Functional Family

• 8 – 10 points = highly functional family

• 4 – 7 points = moderately dysfunctional/functional family
• 0 – 3 points = severely dysfunctional family
 FAMILY APGAR QUESTIONNAIRE PART 2
1. Who lives with you at home? How do you get along?
Name Relationship Age/Sex Well Fairly Poor

1. Romeo Husband 55/M

2. Marie Grace Daughter 19/F

3. Hubert Son 17/M

**Her eldest child, Gerome (25/M), is not included because he does

not live with them.
2. Aside from your family, list the people you turn to for help. How do
you get along?
Name Relationship Age/Sex Well Fairly Poor

1. Nenita Sister 40/F

2. Gina Sister 32/F

3. Marco Brother 28/M

4. Gregorio Father 66/M

5. Julia Mother 68/F

6. Gerome Son 25/M