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. 2017;88(3):297–301. doi: 10.23750/abm.v%vi%i.5737

Table 1.

Questionnaire on the quality of life with the use of negative pressure therapy

  1. You think your health is

    1. Not good

    2. Good

    3. Very good

  2. Do you feel limited in moderate activities? (eg. moving a table, use the vacuum cleaner)

    1. Yes, completely

    2. Yes, partially

    3. No

  3. Do you feel limited in climbing flight of stairs?

    1. Yes, completely

    2. Yes, partially

    3. No

  4. Do you feel limited in the dress?

    1. Yes, completely

    2. Yes, partially

    3. No

  5. Do you feel limited in going to work? (Please insert your job _______________)

    1. Yes, completely

    2. Yes, partially

    3. No

  6. Do you feel limited in leisure activities?

    1. Yes, completely

    2. Yes, partially

    3. No

  7. During therapy with negative pressure did you feel

    • Discouraged

    • Sad

    • E nergetic

    • Calm