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. Author manuscript; available in PMC: 2017 Jul 1.
Published in final edited form as: Qual Life Res. 2016 Jan 2;25(7):1655–1665. doi: 10.1007/s11136-015-1221-2

Table 3.

Parent-proxy parallel forms.

Form A Form B
Depressive
Symptoms
My child felt unhappy. My child felt lonely.
My child felt alone. My child felt sad.
It was hard for my child to have fun. My child felt that his/her life was bad.
My child felt stressed. It was hard for my child to do school work
because he/she felt sad.
My child felt too sad to eat. My child didn’t care about anything.

Fatigue My child was too tired to enjoy the
things he/she likes to do.
Being tired made it hard for my child to
play or go out with friends.
Being tired made it hard for my child
to keep up with his/her school work.
My child had trouble starting things
because he/she was too tired.
My child felt weak. My child had trouble finishing things
because he/she was too tired.
My child got tired easily. My child was so tired it was hard for
him/her to pay attention.
My child was too tired to do things
outside.
My child was too tired to do sports or
exercise.

Mobility My child could get up from the floor. My child has been physically able to do the
activities he/she enjoys most.
My child could bend over to pick
something up.
My child could get in and out of a car.
My child could walk up stairs
without holding on to anything.
My child could get down on his/her knees
without holding onto something.
My child could keep up when he/she
played with other kids.
My child could go up one step.
My child could turn his/her head all
the way to the side.
My child could stand up on his/her tiptoes.
My child could stand up without
help.
My child could move his/her legs.

Note: All items included the context “In the past 7 days”. Response options for depressive symptoms and fatigue were never, almost never, sometimes, often, and almost always. Response options for mobility were with no trouble, with a little trouble, with some trouble, with a lot of trouble, and not able to do.