ID

11266

Beschrijving

Z6051 Female Sexual Function Index (FSFI) NCT00726622 Laparoscopic-Assisted Resection or Open Resection in Treating Patients With Stage IIA, Stage IIIA, or Stage IIIB Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4ADB6FCE-6910-3938-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4ADB6FCE-6910-3938-E044-0003BA3F9857

Trefwoorden

Versies (4)
  1. 27-08-12 27-08-12 -
  2. 11-08-14 11-08-14 - Martin Dugas
  3. 09-01-15 09-01-15 - Martin Dugas
  4. 27-06-15 27-06-15 -
Geüploaded op

27 juni 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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Z6051 Female Sexual Function Index (FSFI) NCT00726622

Engels

INSTRUCTIONS: These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential.

1 Formulieren  
Header Module
Beschrijving

Header Module

Visit
Beschrijving

AmericanCollegeofSurgeonsOncologyGroupVisitPeriodAmericanCollegeofSurgeonsOncologyGroupVisitPeriodType

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25616
UMLS 2011AA Property
C1948053
NCI Thesaurus ObjectClass
C19712
UMLS 2011AA ObjectClass
C1515944
NCI Thesaurus ObjectClass-2
C25716
UMLS 2011AA ObjectClass-2
C0545082
Patient ID (Pt. ID issued during registration unless pt. previously registered to an ACOSOG study.)
Beschrijving

Patient Study ID

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25462
NCI Thesaurus Property-2
C25364
Patient Initials
Beschrijving

Patient Initials

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Institution Name
Beschrijving

Institution Name

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
Institution No.
Beschrijving

Institution Number

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
UMLS CUI-2
C0805701
NCI Thesaurus Property
C25364
Date
Beschrijving

Assessment Date

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2985720
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C38000
Female Sexual Function Assessment
Beschrijving

Female Sexual Function Assessment

Over the past 4 weeks, how often did you feel sexual desire or interest
Beschrijving

SexBehaviorQualityofLifeLibidoAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C37986
UMLS 2011AA Property
C0023618
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest
Beschrijving

SexBehaviorQualityofLifeLibidoOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property-3
C37986
UMLS 2011AA Property-2
C0023618
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how often did you feel sexually aroused ('turned on') during sexual activity or intercourse?
Beschrijving

SexBehaviorQualityofLifeLibidoLevelAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25554
UMLS 2011AA Property
C0441889
NCI Thesaurus Property-3
C37986
UMLS 2011AA Property-2
C0023618
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how would you rate your level of sexual arousal ('turn on') during sexual activity or intercourse?
Beschrijving

Libido

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS CUI-1
C0023618
NCI Thesaurus ObjectClass-2
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
NCI Thesaurus Property-3
C73522
NCI Thesaurus ValueDomain
C25664
Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?
Beschrijving

SexBehaviorQualityofLifeSexualArousalConfidenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C43367
UMLS 2011AA Property
C1704726
NCI Thesaurus Property-3
C73522
UMLS 2011AA Property-2
C0233972
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse
Beschrijving

SexBehaviorQualityofLifeSexualArousalSatisfactionOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
UMLS 2011AA Property
C0242428
NCI Thesaurus Property-3
C25275
UMLS 2011AA Property-2
C2745955
NCI Thesaurus Property-4
C73522
UMLS 2011AA Property-3
C0233972
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how often did you become lubricated ('wet') during sexual activity or intercourse
Beschrijving

SexBehaviorQualityofLifeVaginaCellularSecretionOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C12407
UMLS 2011AA Property
C0042232
NCI Thesaurus Property-3
C25275
UMLS 2011AA Property-2
C2745955
NCI Thesaurus Property-4
C17119
UMLS 2011AA Property-3
C1327616
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how difficult was it to become lubricated ('wet') during sexual activity or intercourse
Beschrijving

SexBehaviorQualityofLifeVaginaCellularSecretionDifficultyAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C12407
UMLS 2011AA Property
C0042232
NCI Thesaurus Property-3
C62189
UMLS 2011AA Property-2
C1299586
NCI Thesaurus Property-4
C17119
UMLS 2011AA Property-3
C1327616
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how often did you maintain your lubrication ('wetness') until completion of sexual activity or intercourse
Beschrijving

SexBehaviorQualityofLifeVaginaCellularSecretionCompleteOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25367
NCI Thesaurus Property-3
C12407
UMLS 2011AA Property-2
C0042232
NCI Thesaurus Property-4
C25275
UMLS 2011AA Property-3
C2745955
NCI Thesaurus Property-5
C17119
UMLS 2011AA Property-4
C1327616
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how difficult was it to maintain your lubrication ('wetness') until completion of sexual activity or intercourse
Beschrijving

SexBehaviorQualityofLifeVaginaCellularSecretionCompleteDifficultyAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25367
NCI Thesaurus Property-3
C12407
UMLS 2011AA Property-2
C0042232
NCI Thesaurus Property-4
C62189
UMLS 2011AA Property-3
C1299586
NCI Thesaurus Property-5
C17119
UMLS 2011AA Property-4
C1327616
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)
Beschrijving

SexBehaviorQualityofLifeOrgasmOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property-3
C73521
UMLS 2011AA Property-2
C0029260
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)
Beschrijving

SexBehaviorQualityofLifeOrgasmDifficultyAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property-3
C73521
UMLS 2011AA Property-2
C0029260
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse
Beschrijving

SexBehaviorQualityofLifeOrgasmSatisfactionAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
UMLS 2011AA Property
C0242428
NCI Thesaurus Property-3
C73521
UMLS 2011AA Property-2
C0029260
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner
Beschrijving

SexBehaviorQualityofLifeRelationshipSatisfactionAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
UMLS 2011AA Property
C0242428
NCI Thesaurus Property-3
C25648
UMLS 2011AA Property-2
C0439849
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner
Beschrijving

SexBehaviorQualityofLifeSatisfactionAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
UMLS 2011AA Property
C0242428
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how satisfied have you been with your overall sexual life
Beschrijving

SexBehaviorQualityofLifeOverallSatisfactionAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25605
UMLS 2011AA Property
C1561607
NCI Thesaurus Property-2
C25367
NCI Thesaurus Property-3
C62185
UMLS 2011AA Property-2
C0242428
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration
Beschrijving

SexBehaviorQualityofLifePainDuringSexualIntercourseOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property-3
C25275
UMLS 2011AA Property-2
C2745955
NCI Thesaurus Property-4
C25490
UMLS 2011AA Property-3
C0347984
NCI Thesaurus Property-5
C72881
UMLS 2011AA Property-4
C0009253
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration
Beschrijving

SexBehaviorQualityofLifePainPostSexualIntercourseOccurrenceAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property-3
C38008
UMLS 2011AA Property-2
C0687676
NCI Thesaurus Property-4
C25275
UMLS 2011AA Property-3
C2745955
NCI Thesaurus Property-5
C72881
UMLS 2011AA Property-4
C0009253
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration
Beschrijving

SexBehaviorQualityofLifePainSexualIntercourseLevelAssessmentScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass-2
C17127
UMLS 2011AA ObjectClass-2
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property-3
C25554
UMLS 2011AA Property-2
C0441889
NCI Thesaurus Property-4
C72881
UMLS 2011AA Property-3
C0009253
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
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Similar models

INSTRUCTIONS: These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential.

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Header Module
Item
Visit
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C19712 (NCI Thesaurus ObjectClass)
C1515944 (UMLS 2011AA ObjectClass)
C25716 (NCI Thesaurus ObjectClass-2)
C0545082 (UMLS 2011AA ObjectClass-2)
CL.1
Code List
Visit
CL Item
Pre-operative (Pre-Op)
CL Item
4-6 Weeks Post-surgery (4-6 weeks post-surgery)
CL Item
Month 3 (Month 3)
CL Item
Month 12 (Month 12)
Patient Study ID
Item
Patient ID (Pt. ID issued during registration unless pt. previously registered to an ACOSOG study.)
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Institution Number
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Assessment Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C2985720 (UMLS CUI-1)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
Item Group
Female Sexual Function Assessment
Item
Over the past 4 weeks, how often did you feel sexual desire or interest
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C37986 (NCI Thesaurus Property-2)
C0023618 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.2
Code List
Over the past 4 weeks, how often did you feel sexual desire or interest
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C2745955 (UMLS 2011AA Property)
C37986 (NCI Thesaurus Property-3)
C0023618 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.3
Code List
Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest
CL Item
High (High)
C25227 (NCI Thesaurus)
C0205250 (UMLS 2011AA)
CL Item
Low (Low)
C54722 (NCI Thesaurus)
C0205251 (UMLS 2011AA)
CL Item
Moderation (Moderate)
C61376 (NCI Thesaurus)
C1881878 (UMLS 2011AA)
CL Item
Very High (Very high)
CL Item
Very Low Or None At All (Very low or none at all)
Item
Over the past 4 weeks, how often did you feel sexually aroused ('turned on') during sexual activity or intercourse?
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25554 (NCI Thesaurus Property-2)
C0441889 (UMLS 2011AA Property)
C37986 (NCI Thesaurus Property-3)
C0023618 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.4
Code List
Over the past 4 weeks, how often did you feel sexually aroused ('turned on') during sexual activity or intercourse?
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how would you rate your level of sexual arousal ('turn on') during sexual activity or intercourse?
text
C17047 (NCI Thesaurus ObjectClass)
C0023618 (UMLS CUI-1)
C17127 (NCI Thesaurus ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C73522 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
CL.5
Code List
Over the past 4 weeks, how would you rate your level of sexual arousal ('turn on') during sexual activity or intercourse?
CL Item
High (High)
C25227 (NCI Thesaurus)
C0205250 (UMLS 2011AA)
CL Item
Low (Low)
C54722 (NCI Thesaurus)
C0205251 (UMLS 2011AA)
CL Item
Moderation (Moderate)
C61376 (NCI Thesaurus)
C1881878 (UMLS 2011AA)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Very High (Very high)
CL Item
Very Low Or None At All (Very low or none at all)
Item
Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C43367 (NCI Thesaurus Property-2)
C1704726 (UMLS 2011AA Property)
C73522 (NCI Thesaurus Property-3)
C0233972 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.6
Code List
Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?
CL Item
High Confidence (High confidence)
CL Item
Low Confidence (Low confidence)
CL Item
Moderate Confidence (Moderate confidence)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Very High Confidence (Very high confidence)
CL Item
Very Low Or No Confidence (Very low or no confidence)
Item
Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C0242428 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property-3)
C2745955 (UMLS 2011AA Property-2)
C73522 (NCI Thesaurus Property-4)
C0233972 (UMLS 2011AA Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.7
Code List
Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how often did you become lubricated ('wet') during sexual activity or intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C12407 (NCI Thesaurus Property-2)
C0042232 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property-3)
C2745955 (UMLS 2011AA Property-2)
C17119 (NCI Thesaurus Property-4)
C1327616 (UMLS 2011AA Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.8
Code List
Over the past 4 weeks, how often did you become lubricated ('wet') during sexual activity or intercourse
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how difficult was it to become lubricated ('wet') during sexual activity or intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C12407 (NCI Thesaurus Property-2)
C0042232 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property-3)
C1299586 (UMLS 2011AA Property-2)
C17119 (NCI Thesaurus Property-4)
C1327616 (UMLS 2011AA Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.9
Code List
Over the past 4 weeks, how difficult was it to become lubricated ('wet') during sexual activity or intercourse
CL Item
Difficult (Difficult)
CL Item
Extremely Difficult Or Impossible (Extremely difficult or impossible)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Not Difficult (Not difficult)
CL Item
Slightly Difficult (Slightly difficult)
CL Item
Very Difficult (Very difficult)
Item
Over the past 4 weeks, how often did you maintain your lubrication ('wetness') until completion of sexual activity or intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C12407 (NCI Thesaurus Property-3)
C0042232 (UMLS 2011AA Property-2)
C25275 (NCI Thesaurus Property-4)
C2745955 (UMLS 2011AA Property-3)
C17119 (NCI Thesaurus Property-5)
C1327616 (UMLS 2011AA Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.10
Code List
Over the past 4 weeks, how often did you maintain your lubrication ('wetness') until completion of sexual activity or intercourse
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how difficult was it to maintain your lubrication ('wetness') until completion of sexual activity or intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C12407 (NCI Thesaurus Property-3)
C0042232 (UMLS 2011AA Property-2)
C62189 (NCI Thesaurus Property-4)
C1299586 (UMLS 2011AA Property-3)
C17119 (NCI Thesaurus Property-5)
C1327616 (UMLS 2011AA Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.11
Code List
Over the past 4 weeks, how difficult was it to maintain your lubrication ('wetness') until completion of sexual activity or intercourse
CL Item
Difficult (Difficult)
CL Item
Extremely Difficult Or Impossible (Extremely difficult or impossible)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Not Difficult (Not difficult)
CL Item
Slightly Difficult (Slightly difficult)
CL Item
Very Difficult (Very difficult)
Item
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C2745955 (UMLS 2011AA Property)
C73521 (NCI Thesaurus Property-3)
C0029260 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.12
Code List
Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)
CL Item
A Few Times (A few times)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62189 (NCI Thesaurus Property-2)
C1299586 (UMLS 2011AA Property)
C73521 (NCI Thesaurus Property-3)
C0029260 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.13
Code List
Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)
CL Item
Difficult (Difficult)
CL Item
Extremely Difficult Or Impossible (Extremely difficult or impossible)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Not Difficult (Not difficult)
CL Item
Slightly Difficult (Slightly difficult)
CL Item
Very Difficult (Very difficult)
Item
Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C0242428 (UMLS 2011AA Property)
C73521 (NCI Thesaurus Property-3)
C0029260 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.14
Code List
Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse
CL Item
About Equally Satisfied And Dissatisfied (About equally satisfied and dissatisfied)
CL Item
Moderately Dissatisfied (Moderately dissatisfied)
CL Item
Moderately Satisfied (Moderately satisfied)
CL Item
No Sexual Activity (No sexual activity)
CL Item
Very Dissatisfied (Very dissatisfied)
CL Item
Very Satisfied (Very satisfied)
Item
Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C0242428 (UMLS 2011AA Property)
C25648 (NCI Thesaurus Property-3)
C0439849 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.15
Code List
Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner
CL Item
About Equally Satisfied And Dissatisfied (About equally satisfied and dissatisfied)
CL Item
Moderately Dissatisfied (Moderately dissatisfied)
CL Item
Moderately Satisfied (Moderately satisfied)
CL Item
Very Dissatisfied (Very dissatisfied)
CL Item
Very Satisfied (Very satisfied)
Item
Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C0242428 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.16
Code List
Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner
CL Item
About Equally Satisfied And Dissatisfied (About equally satisfied and dissatisfied)
CL Item
Moderately Dissatisfied (Moderately dissatisfied)
CL Item
Moderately Satisfied (Moderately satisfied)
CL Item
Very Dissatisfied (Very dissatisfied)
CL Item
Very Satisfied (Very satisfied)
Item
Over the past 4 weeks, how satisfied have you been with your overall sexual life
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25605 (NCI Thesaurus Property)
C1561607 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property-2)
C62185 (NCI Thesaurus Property-3)
C0242428 (UMLS 2011AA Property-2)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.17
Code List
Over the past 4 weeks, how satisfied have you been with your overall sexual life
CL Item
About Equally Satisfied And Dissatisfied (About equally satisfied and dissatisfied)
CL Item
Moderately Dissatisfied (Moderately dissatisfied)
CL Item
Moderately Satisfied (Moderately satisfied)
CL Item
Very Dissatisfied (Very dissatisfied)
CL Item
Very Satisfied (Very satisfied)
Item
Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C0030193 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property-3)
C2745955 (UMLS 2011AA Property-2)
C25490 (NCI Thesaurus Property-4)
C0347984 (UMLS 2011AA Property-3)
C72881 (NCI Thesaurus Property-5)
C0009253 (UMLS 2011AA Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.18
Code List
Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C0030193 (UMLS 2011AA Property)
C38008 (NCI Thesaurus Property-3)
C0687676 (UMLS 2011AA Property-2)
C25275 (NCI Thesaurus Property-4)
C2745955 (UMLS 2011AA Property-3)
C72881 (NCI Thesaurus Property-5)
C0009253 (UMLS 2011AA Property-4)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.19
Code List
Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
A Few Times (A few times)
CL Item
Almost Always Or Always (Almost always or always)
CL Item
Almost Never Or Never (Almost never or never)
CL Item
Most Times (Most times)
CL Item
Sometimes (Sometimes)
Item
Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass-2)
C0036864 (UMLS 2011AA ObjectClass-2)
C25367 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C0030193 (UMLS 2011AA Property)
C25554 (NCI Thesaurus Property-3)
C0441889 (UMLS 2011AA Property-2)
C72881 (NCI Thesaurus Property-4)
C0009253 (UMLS 2011AA Property-3)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.20
Code List
Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration
CL Item
Did Not Attempt Intercourse (Did not attempt intercourse)
CL Item
High (High)
C25227 (NCI Thesaurus)
C0205250 (UMLS 2011AA)
CL Item
Low (Low)
C54722 (NCI Thesaurus)
C0205251 (UMLS 2011AA)
CL Item
Moderation (Moderate)
C61376 (NCI Thesaurus)
C1881878 (UMLS 2011AA)
CL Item
Very High (Very high)
CL Item
Very Low Or None At All (Very low or none at all)
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