EuroQoL‐5D‐5L |
1. |
Your own health state today |
75 (15–100) |
0–100: 0 = The worst health you can imagine, 100 = The best health you can imagine |
2. |
Mobility |
1 (1–4) |
1–5: 1 = I have no problems in walking about, 5 = I am unable to walk about |
3. |
Usual activity |
1 (1–5) |
1–5: 1 = I have no problems doing my usual activities, 5 = I am unable to do my usual activities |
4. |
Pain/discomfort |
2 (1–5) |
1–5: 1 = I have no pain or discomfort, 5 = I have extreme pain or discomfort |
HADS |
5. |
HADS anxiety |
5 (0–19) |
0–21: 0–7 = Normal, 8–10 = Borderline abnormal (borderline case), 11–21 = Abnormal (case) |
6. |
HADS depression |
4 (0–15) |
0–21: 0–7 = Normal, 8–10 = Borderline abnormal (borderline case), 11–21 = Abnormal (case) |
EORTC QLQ C30 |
7. |
How would you rate your overall quality of life during the past week? |
5 (1–7) |
1–7: 1 = Very poor, 7 = Excellent |
8. |
How would you rate your overall health during the past week? |
5 (2–7) |
1–7: 1 = Very poor, 7 = Excellent |
9. |
Have you had trouble sleeping? |
2 (1–4) |
1–4: 1 = Not at all, 4 = Very much |
10. |
Has your physical condition or medical treatment interfered with your social activities? |
2 (1–4) |
1–4: 1 = Not at all, 4 = Very much |
11. |
Were you tired? |
2 (1–4) |
1–4: 1 = Not at all, 4 = Very much |
12. |
Did you need to rest? |
2 (1–4) |
1–4: 1 = Not at all, 4 = Very much |
13. |
Have you felt weak? |
2 (1–4) |
1–4: 1 = Not at all, 4 = Very much |
BIPQ |
14. |
How much control do you feel you have over your illness? |
4 (0–10) |
0–10: 0 = Absolutely no control, 10 = Extreme amount of control |
15. |
How well do you feel you understand your illness? |
8 (0–10) |
0–10: 0 = Do not understand at all, 10 = Understand very clearly |
16. |
How concerned are you about your illness? |
6 (0–10) |
0–10: 0 = Not at all concerned, 10 = Extremely concerned |
17. |
How much do you experience symptoms from your illness? |
3 (0–10) |
0–10: 0 = No symptoms at all, 10 = Many severe symptoms |
18. |
How much does your illness affect your life? |
5 (0–10) |
0–10: 0 = No affect at all, 10 = Severely affects my life |