HoNOS Score Sheet

Name:__________________________

Date:

HoNOS Completed by (Name):____________________________

HoNOS Score Sheet

Enter the severity rating for each item in the corresponding item box to the right of the item. Rate 9 if not know or not applicable.

HoNOS Score Sheet
		Rate 9 if not known	Rate
1	Overactive, aggressive, disruptive behaviour	0 1 2 3 4
2	Non-accidental self-injury	0 1 2 3 4
3	Problem-drinking or drug-traking	0 1 2 3 4
4	Cognitive problems	0 1 2 3 4
5	Physical illness or disability problems	0 1 2 3 4
6	Problems with hallucinations and delusions	0 1 2 3 4
7	Problems with depressed mood	0 1 2 3 4
(Specify disorder A,B,C,D,E,F,G,H,I, or J)
8	Other mental & behavioural problems	0 1 2 3 4
9	Problems with relationships	0 1 2 3 4
10	Problems with activities of daily living	0 1 2 3 4
11	Problems with living conditions	0 1 2 3 4
12	Problems with occupation and activities	0 1 2 3 4
	Total	0-48