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. 2020 Oct;12(4):278–283. doi: 10.34172/mejdd.2020.194

Appendix 1 . Original version of 12-item Pruritus Severity Score (12-PSS) questionnaire.

Question Possible answers Scoring
(1) How often did you feel pruritus within the last 3 days? (i)All time
(ii)All morning/afternoon/evening/night long itch episodes
(iii)Occasionally, short itch episodes
3 points
2 points
1 points
(2) Did pruritus hinder your ability to do simply things, like watching TV, hearing music, etc..? (i)Yes
(ii)No
1 points
0 points
(3) Did you feel irritated or nervous because of your itching? (i)Yes
(ii)No
1 points
0 points
(4) Did your pruritus cause you depressed? (i)Yes
(ii)No
1 points
0 points
(5) Did your pruritus impede your work or learning abilities? (i)Yes
(ii)No
1 points
0 points
(6) Did you scratch your skin because of itching? (i)Yes
(ii)No
1 points
0 points
(7) Did scratching bring you relief? (i)Yes
(ii)No
1 points
0 points
(8) Were you able to refrain from scratching? (i)Yes
(ii)No
1 points
0 points
(9) Did you wake up during last night because of pruritus? (i)No
(ii)Yes, 1-2 times
(iii)Yes, 3-4 times
(iv)Yes, 5 and more times
0 points
1 points
2 points
3 points
(10) Could you assess the severity of your pruritus within last 3 days? (i)Very mild
(ii)Mild
(iii)Moderate
(iv)Severe
(v)Very Severe
1 points
2 points
3 points
4 points
5 points
(11) Could you indicate pruritus location? (i)Single locations of pruritus
(ii)Large body areas
(iii)Generalized pruritus
1 points
2 points
3 points
(12) Are excoriations or other scratch lesion present? (i)Yes
(ii)No
1 points
0 points