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. 2014 Sep-Oct;89(5):771–782. doi: 10.1590/abd1806-4841.20143063

Chart 1.

MelasQoL-BP. Disease-specific questionnaire for assessing the quality of life of patients with melasma, validated for the Portuguese spoken in Brazil. The total score ranges from 10 to 70

Answers: 1 - Not bothered at all  
2. - Mostly not bothered  
3. - Sometimes not bothered  
4. - Neutral  
5. - Bothered sometimes  
6. - Bothered most of the time  
7. - Bothered all the time  
Considering your disease, melasma, how do you feel about:  
1. The appearance of your skin condition ( )
2. Frustration due to the appearance of your skin condition ( )
3. Embarrassment about the appearance of your skin condition ( )
4. Feeling depressed about your skin condition ( )
5. The effects of your skin condition on your interactions with others ( )
(e.g.: interactions with family, friends, close relationships etc.)  
6. The effects of your skin condition on your desire to be with people ( )
7. Your skin condition making it hard to show affection ( )
8. Skin discoloration making you feel unattractive to others. ( )
9. Skin discoloration making you feel less vital or productive ( )
10. Skin discoloration affecting your sense of freedom ( )
TOTAL ( )