Table 1.
VitiQoL questionnaire
| The aim of these questions is to measure how much your skin has affected you over past month. | |||||||
| During the past month (0 – Not at all, 6 – All of the time): | |||||||
| Have you been bothered by the appearance of your skin condition? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Have you felt frustrated about your skin condition? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition made it hard to show affection? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your daily activities? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| When you were talking to someone, have you worried about what they may be thinking of you? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Have you been afraid that people will find fault with you? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Have you felt embarrassed or self-conscious because of your skin? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition influenced the clothes you wear? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your social or leisure activities? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your emotional well-being? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your overall physical health? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your grooming practices (i.e. hairstyle, use of cosmetics)? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your sun protection efforts during recreation (i.e. limiting exposure time during peak sun hours, seeking shade, wearing hat, long sleeves or pants)? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Has your skin condition affected your chances for making new friends? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Have you worried about progression or spread of disease to new areas of the body? | 0 | 1 | 2 | 3 | 4 | 5 | 6 |
| Please check how severe you currently feel your skin condition is (0 - No skin involvement, 6 – Most severe case): Severity of skin condition? |
0 | 1 | 2 | 3 | 4 | 5 | 6 |