Table I.
Chronic Ear Survey (CES).
Activity | Restriction-Based Subscale |
A1 | Because of your ear problem, you don't swim or shower without protecting your ear. □ definitely true □ true □ don't know □ false □ definitely false |
A2 | At the present time, how severe a limitation is the necessity to keep water out of your ears? □ very severe □ severe □ moderate □ mild □ very mild □ none |
A3 | In the past 4 weeks, has your ear problem interfered with your social activities with friends, family, or groups? qall of the time □ most of the time □ a good bit of the time □ some of the time □ a little of the time □ none |
Symptom | Subscale |
S1 | Your hearing loss is: □ very severe □ severe □ moderate □ mild □ very mild □ none |
S2 | Drainage from your ear is: □ very severe □ severe □ moderate □ mild □ very mild □ none |
S3 | Pain from your ear is: □ very severe □ severe □ moderate □ mild □ very mild □ none |
S4 | Odor from your ear is very bothersome to you and/or others: □ definitely true □ true □ don't know □ false □ definitely false |
S5 | The hearing loss in your affected ear bothers you: □ all of the time □ most of the time □ a good bit of the time □ some of the time □ a little of the time □ none |
S6 | In the past 6 months, please estimate the frequency that your affected ear has drained: □ constantly □ >5 times, but not constantly □ 3-4 times □ 1-2 times □ not at all |
S7 | The odor from your affected ear bothers you and/or others: □ all of the time □ most of the time □ a good bit of the time □ some of the time □ a little of the time □ none |
Medical | Resource Utilisation Subscale |
M1 | In the past 6 months, how many separate times have you visited your physician, specifically about your ear problem? □ >6 times □ >5 times, but not constantly □ 3-4 times □ 1-2 times □ not at all |
M2 | In the past 6 months, how many separate times have you used oral antibiotics to treat your ear infection? □ >6 times □ >5 times, but not constantly □ 3-4 times □ 1-2 times □ not at all |
M3 | In the past 6 months, how many separate times have ear drops been necessary to treat your ear condition? □ >6 times □ >5 times, but not constantly □ 3-4 times □ 1-2 times □ not at all |