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. 2004 Jan;88(1):75–78. doi: 10.1136/bjo.88.1.75

Table t6.

The following questions deal with your thyroid eye disease in general

Yes, very much so Yes, a little No, not at all
10. Do you feel that your appearance has changed because of your thyroid eye disease?
11. Do you feel that you are stared at in the streets because of your thyroid eye disease?
12. Do you feel that people react unpleasantly because of your thyroid eye disease?
13. Do you feel that your thyroid eye disease has an influence on your self confidence?
14. Do you feel that your thyroid eye disease has an influence on making friends?
15. Do you feel socially isolated because of your thyroid eye disease?
16. Do you feel that you appear less often on photos than before you had thyroid eye disease?
17. Do you try to mask changes in your appearance caused by thyroid eye disease?
18. Do you feel patient education and counselling concerning thyroid eye disease was adequate?
19. Do you feel patient education and counselling helped you cope with and understand thyroid eye disease?