Table 1.

The Functional Assessment of Cancer Therapy-EGFRI 18 (FACT-EGFRI 18)

Instructions: “Below is a list of statements that other people with your illness have said are important. Please check one box per line to indicate your response as it applies to the past 7 days.”
Item No.	Item	Response category
		Not at all	A little bit	Somewhat	Quite a bit	Very much
1	My skin or scalp feels irritated
2	My skin or scalp is dry or “flaky”
3	My skin or scalp itches
4	My skin bleeds easily
5	I am bothered by a change in my skin’s sensitivity to the sun
6	My skin condition interferes with my ability to sleep
7	My skin condition affects my mood
8	My skin condition interferes with my social life
9	I am embarrassed by my skin condition
10	I avoid going out in public because of how my skin looks
11	I feel unattractive because of how my skin looks
12	Changes in my skin condition make daily life Difficult
13	The skin side effects from treatment have interfered with household tasks
14	My eyes are dry
15	I am bothered by sensitivity around my fingernails or toenails
16	Sensitivity around my fingernails makes it difficult to perform household tasks
17	I am bothered by hair loss
18	I am bothered by increased facial hair

Note: FACT-EGFRI 18 measure and scoring instructions are available at the following website: https://www.facit.org/FACITOrg/Questionnaires