ID
17729
Description
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: EORTC QLQ-C30 MS. German description: EORTC QLQ-C30 (version 3.0) Wir sind an einigen Angaben interessiert, die Sie und Ihre Gesundheit betreffen. Bitte beantworten Sie die folgenden Fragen selbst, indem Sie die Zahl ankreuzen, die am besten auf Sie zutrifft. Es gibt keine "richtigen" oder "falschen" Antworten. Ihre Angaben werden streng vertraulich behandelt.
Keywords
Versions (5)
- 9/30/16 9/30/16 -
- 10/11/16 10/11/16 -
- 11/11/16 11/11/16 -
- 11/2/17 11/2/17 -
- 11/7/17 11/7/17 -
Uploaded on
September 30, 2016
DOI
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License
Creative Commons BY-NC 3.0
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EORTC QLQ_C30 MS University Hospital Muenster (UKM)
EORTC QLQ_C30 MS University Hospital Muenster (UKM)
- StudyEvent: ODM
Description
Limitations in everyday life
Description
1. Trouble doing strenuous activities
Data type
integer
Description
2. Trouble taking a long walk
Data type
integer
Description
3. Trouble taking a short walk
Data type
integer
Description
4. Need to stay in bed or a chair during the day
Data type
integer
Description
5. Help necessary with eating, dressing, washing, using the toilet
Data type
integer
Description
Generelle Einschränkungen im Alltag
Description
6. Limitation in work or other daily activities
Data type
integer
Description
7. Limitation in pursuing hobbies or other leisure time activities
Data type
integer
Description
8. Shortness of breath
Data type
integer
Description
9. Pain
Data type
integer
Description
10. Need to rest
Data type
integer
Description
11. Sleep disturbances
Data type
integer
Description
12. Feelings of weakness
Data type
integer
Description
13. Lack of appetite
Data type
integer
Description
14. Nausea
Data type
integer
Description
15. Vomiting
Data type
integer
Description
16. Constipation
Data type
integer
Description
17. Diarrhea
Data type
integer
Description
18. Fatigue
Data type
integer
Description
19. Interference of pain with daily activities
Data type
integer
Description
20. Difficulty in concentrating
Data type
integer
Description
21. Tenseness
Data type
integer
Description
22. Worries
Data type
integer
Description
23. Irritability
Data type
integer
Description
24. Depression
Data type
integer
Description
25. Difficulty remembering things
Data type
integer
Description
26. Interference with family life
Data type
integer
Description
27. Interference with social activities
Data type
integer
Description
28. Financial difficulties
Data type
integer
Description
29. Overall health
Data type
integer
Description
30. Overall quality of life
Data type
integer
Similar models
EORTC QLQ_C30 MS University Hospital Muenster (UKM)
- StudyEvent: ODM