Chart 1.
Version of HRQ-Melasma in Brazilian Portuguese
| The aim of this questionnaire is to measure how much the patches on your skin affected your life IN THE LAST 30 DAYS. Please mark the best answer to each question with an “X”. | ||||
| In the last 30 days how did you feel because of your patches? | ||||
| PA1-How often did you feel that the patches made you look less beautiful (or handsome)? | ||||
| ( )0.Never/Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| PA2-How often, because of the patches, did you feel you look older than you really are? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.always |
| PA3-How often, because of the patches, did you feel different from other people? | ||||
| ( )0.Never/Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4. Always |
| SP4-How often did the presence of the patches interfere in your activities or work? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| SP5- Because of your patches, how often did you feel uncomfortable meeting new people? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| SP6-How often did you feel bothered participating in daytime commitments? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| SP7-How often did the patches interfere in your seeking new job opportunities? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| SP8-How often did the patches limit your social activities, such as commitments, meetings, or interpersonal relations? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4. Always |
| PSY9-How often did you feel discouraged because your patches were a chronic, incurable problem? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2. Sometimes | ( )3.Often | ( )4.Always |
| PSY10-How often did you feel bothered by comments or questions by other people about your patches? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| FA11-How often did you think your patch looked ugly? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| PSY12-How often did you feel ashamed of your patches? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| PSY13-How often did you avoid or feel bad looking in the mirror because of the patches? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| PSY14-How often did you feel bothered when other people stared at you and noticed the patches? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| PSY15-How often did you feel sad or depressed because of the patches? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| PSY16-How often did you have trouble accepting the patches? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| RX17-How often did you find that the treatment products or sunscreens were not adapted to your kind of skin? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |
| RX18-In the last 30 days, how often did you feel bothered by the side effects from the treatment? For example: redness. | ||||
| RX19-How often did you feel bothered because the patches got darker in spite of the treatment? | ||||
| ( )0.Never/ Does not apply | ( )1.Rarely | ( )2.Sometimes | ( )3.Often | ( )4.Always |