Table 3.
Skindex-16 (Chren, M.M. et al., 2001)
| During the past week, how often have you been bothered by: | Never Bothered ↓ |
Always Bothered ↓ |
||||||
|---|---|---|---|---|---|---|---|---|
| 1. | Your skin condition itching | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 2. | Your skin condition burning or stinging | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 3. | Your skin condition hurting | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 4. | Your skin condition being irritated | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 5. | The persistence / reoccurrence of your skin condition | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 6. | Worry about your skin condition (For example: that it will spread, get worse, scar, be unpredictable, etc) | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 7. | The appearance of your skin condition | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 8. | Frustration about your skin condition | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 9. | Embarrassment about your skin condition | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 10. | Being annoyed about your skin condition | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 11. | Feeling depressed about your skin condition | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 12. | The effects of your skin condition on your interactions with others (For example: interactions with family, friends, close relationships, etc) | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 13. | The effects of your skin condition on your desire to be with people | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 14. | Your skin condition making it hard to show affection | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 15. | The effects of your skin condition on your daily activities | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
| 16. | Your skin condition making it hard to work or what you do | ◻0 | ◻1 | ◻2 | ◻3 | ◻4 | ◻5 | ◻6 |
Reprinted with permission from Chren, M.M., et al. (2001). Measurement properties of Skindex-16: a brief quality-of-life measure for patients with skin diseases. Journal of Cutaneous Medicine and Surgery, 5, 105-110. Skin-Index 16 is copyrighted and used with kind permission from both Dr. Chren and Springer Publishing Co