Table 1.
KMUH Head and Neck 10-item Questionnaire (KMUH-QOL):UW-QOL Questionnaire Version 1 plus one more item ‘Drooling’
| Pain | |
|---|---|
| I have no pain. |
100 |
| There is mild pain but I do not need medication. |
75 |
| I have moderate pain (requires regular medication, such as codeine or non-narcotic). |
50 |
| I have severe pain controlled only by narcotics. |
25 |
| I have severe pain not controlled by medication. |
0 |
|
Disfigurement | |
| There is no change in my appearance. |
100 |
| The change in my appearance is minor. |
75 |
| My appearance bothers me but I remain active. |
50 |
| I feel significantly disfigured and limit my activities due to my appearance. |
25 |
| I cannot be with people due to my appearance. |
0 |
|
Activity | |
| I am as active as I have ever been. |
100 |
| There are times when I can’t keep up my old pace, but not often. |
75 |
| I am often tired and have slowed down my activities although I still get out. |
50 |
| I don’t go out because I don’t have the strength. |
25 |
| I am usually in bed or a chair and don’t leave home. |
0 |
|
Recreation/Entertainment | |
| There are no limitations to recreation at home and away from home. |
100 |
| There are a few things I can’t do but I still get out and enjoy life. |
75 |
| There are many times when I wish I could get out more but I’m not up to it. |
50 |
| There are severe limitations to what I can do. Mostly I stay home and watch TV. |
25 |
| I can’t do anything enjoyable. |
0 |
|
Employment | |
| I work full time or job has no correlation with cancer. |
100 |
| I have a part-time but permanent job. |
75 |
| I only have occasional employment. |
50 |
| I am unemployed. |
25 |
| I am retired. |
0 |
|
Eating - Chewing | |
| I can chew as well as ever. |
100 |
| I can eat soft solids but cannot chew some foods. |
50 |
| I cannot chew even soft solids. | 0 |