Description:

E2805 FACIT-Fatique Subscale (Version 4) NCT00326898 Sunitinib or Sorafenib in Treating Patients With Kidney Cancer That Was Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6E9962A5-327A-5CEE-E040-BB89AD43557D

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6E9962A5-327A-5CEE-E040-BB89AD43557D
Keywords:
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/16/15 6/16/15 -
Uploaded on:

June 16, 2015

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Creative Commons BY-NC 3.0 Legacy
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E2805 FACIT-Fatique Subscale (Version 4) NCT00326898

INSTRUCTIONS: After patient is off treatment, complete this form for each required follow-up report period (see forms submission schedule).

Patient demographics
Data amendment
Additional Concerns
I feel fatigued
How often did you feel tired
I feel weak all over
I feel listless ("washed out")
I have trouble starting things because I am tired
I have trouble finishing things because I am tired
I have energy
I am able to do my usual activities
I need to sleep during the day
I am too tired to eat
I need help doing my usual activities
I am frustrated by being too tired to do the things I want to do
I have to limit my social activity because I am tired
Fatigue - Short Form
How often did you feel tired
How often did you experience extreme exhaustion
How often did you run out of energy
How often did your fatigue limit you at work (include work at home)
How often were you too tired to think clearly
How often were you too tired to take a bath or shower
How often did you have enough energy to exercise strenuously

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