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. 2026 May 20;10:128. doi: 10.1186/s41687-026-01084-3

Table 2.

The LC-6D-QoL scale following the consensus of the Delphi panel

Dimension Indicator Question 1 2 3 4 5
1.General Health 1.1. General health How would you rate your overall state of health? Very poor Poor Fair Good Very good
2. Physical Health 2.1. Pain In the last month, how much pain has interfered with your daily life (including work and household tasks)? Very much Quite a lot Somewhat A little Not at all
2.2. Physical fatigue In the last month, to what extent have you felt physically fatigued while performing everyday activities? Very often Quite often Sometimes Rarely Never
2.3. Functionality In the last month, to what extent did you feel limited when making moderate effort, carrying groceries, climbing stairs, or walking for an hour? Very much Quite a lot Somewhat A little Not at all
2.4. Dysautonomia In the last month, have you experienced symptoms such as dizziness, rapid heartbeat, or excessive sweating when changing position (e.g., standing)? Very often Quite often Sometimes Rarely Never
3. Mental Health 3.1. Emotional In the last month, to what extent have you felt depressed or anxious? Very much Quite a lot Somewhat A little Not at all
3.2. Mental fatigue In the last month, to what extent have you felt mentally fatigued while performing everyday activities? Very much Quite a lot Somewhat A little Not at all
3.3. Cognitive problems In the last month, have you had difficulties concentrating or remembering essential information (e.g., appointments, names, or tasks)? Very much Quite a lot Somewhat A little Not at all
4. Daily Functioning 4.1. Limitations in daily activities In the last month, to what extent have you felt limited in performing daily tasks, participating in leisure activities, or moving freely? Very often Quite often Sometimes Rarely Never
4.2. Personal autonomy In the last month, how would you describe your level of autonomy in performing daily activities (personal hygiene, medication management, cooking)? Very poor Poor Fair Good Very good
5. Social Relationships and Support 5.1. Quality of social relationships In the last month, to what extent did you feel your family and friends understand your situation and support you? Very much Quite a lot Somewhat A little Not at all
5.2. Social isolation In the last month, how often have you had contact with friends? Never Rarely Sometimes Quite often Very often
5.3. Affective and sexual life In the last month, how much has your health affected your romantic or sexual life? Very much Quite a lot Somewhat A little Not at all
6. Economic and Work-related Aspects 6.1. Loss of income In the last month, how much has your health affected your income? Very much Quite a lot Somewhat A little Not at all
6.2. Work performance In the last month, to what extent has your health affected your work or academic performance? Very much Quite a lot Somewhat A little Not at all
6.3. Return-to-work challenges In the last month, have you needed adaptations at work (flexible hours, team support, or task adjustment)? Very much Quite a lot Somewhat A little Not at all