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. 2020 Apr 19;99(6):1241–1249. doi: 10.1007/s00277-020-04018-1

Table 1.

FACT-Leu questionnaire [18]

Domain Items, n Score, range Questions
  Physical well-being 7 0–28

• I have a lack of energy

• I have nausea

• Because of my physical condition, I have trouble meeting the needs of my family

• I have pain

• I am bothered by side effects of treatment

• I feel ill

• I am forced to spend time in bed

  Social well-being 7 0–28

• I feel close to my friends

• I get emotional support from my family

• I get support from my friends

• My family has accepted my illness

• I am satisfied with family communication about my illness

• I feel close to my partner (or the person who is my main support)

• I am satisfied with my sex life

  Emotional well-being 6 0–24

• I feel sad

• I am satisfied with how I am coping with my illness

• I am losing hope in the fight against my illness

• I feel nervous

• I worry about dying

• I worry that my condition will get worse

  Functional well-being 7 0–28

• I am able to work (include work at home)

• My work (include work at home) is fulfilling

• I am able to enjoy life

• I have accepted my illness

• I am sleeping well

• I am enjoying the things I usually do for fun

• I am content with the quality of my life right now

  Leukemia-specific 17 0–68

• I am bothered by fevers

• I have certain parts of my body where I experience significant pain

• I am bothered by the chills

• I have night sweats

• I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin)

• I bleed easily

• I bruise easily

• I feel weak all over

• I get tired easily

• I am losing weight

• I have a good appetite

• I am able to do my usual activities

• I worry about getting infections

• I feel uncertain about my future health

• I worry that I might get new symptoms of my illness

• I have emotional ups and downs

• I feel isolated from others because of my illness or treatment

Aggregated domain Items, n Score, range Calculation
  FACT-G total 27 0–108 Sum of the physical well-being, social well-being, emotional well-being, and functional well-being scores
  FACT-Leu total 44 0–176 Sum of the FACT-G total and the leukemia-specific scores
  TOI-FACT-Leu 31 0–124 Sum of the physical well-being, functional well-being, and the leukemia-specific scores

FACT-G Functional Assessment of Cancer Therapy-General, FACT-Leu Functional Assessment of Cancer Therapy-Leukemia, TOI trial outcome index