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Sexual Satisfaction Scale CRFs Multiple Sklerosis Tysabri NCT00027300

1 forms  
Sexual Satisfaction Scale (SSS)
Description

Sexual Satisfaction Scale (SSS)

Alias
UMLS CUI-1
C0871356
UMLS CUI-2
C1516048
Do you have a relationship with one primary partner?
Description

Relationship with one primary partner

Data type

integer

Alias
UMLS CUI [1]
C0682314
During the past 4 weeks, how satisfied have you been with the amount of affection expressed physically in your realtionship?
Description

Affection expressed physically

Data type

integer

Alias
UMLS CUI [1,1]
C0871641
UMLS CUI [1,2]
C0302826
During the past 4 weeks, how satisfied have you been with the variety of sexual activities you engage in with your partner?
Description

Variety of sexual activities

Data type

integer

Alias
UMLS CUI [1,1]
C0036864
UMLS CUI [1,2]
C1880371
During the past 4 weeks, how satisfied have you been with your sexual relationship in general?
Description

Sexual relationship

Data type

integer

Alias
UMLS CUI [1]
C0871356
How satisfied do you think your partner has been with your sexual relationship, in general, during the past 4 weeks?
Description

Satisfaction of partner with sexual relationship

Data type

integer

Alias
UMLS CUI [1,1]
C0871356
UMLS CUI [1,2]
C0556470
UMLS CUI [1,3]
C0682323
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Similar models

Sexual Satisfaction Scale CRFs Multiple Sklerosis Tysabri NCT00027300

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Sexual Satisfaction Scale (SSS)
C0871356 (UMLS CUI-1)
C1516048 (UMLS CUI-2)
Item
Do you have a relationship with one primary partner?
integer
C0682314 (UMLS CUI [1])
relationship with one primary partner
Code List
Do you have a relationship with one primary partner?
CL Item
No (go to next questionnaire) (0)
CL Item
Yes (continue below) (1)
Item
During the past 4 weeks, how satisfied have you been with the amount of affection expressed physically in your realtionship?
integer
C0871641 (UMLS CUI [1,1])
C0302826 (UMLS CUI [1,2])
affection expressed physically
Code List
During the past 4 weeks, how satisfied have you been with the amount of affection expressed physically in your realtionship?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
Item
During the past 4 weeks, how satisfied have you been with the variety of sexual activities you engage in with your partner?
integer
C0036864 (UMLS CUI [1,1])
C1880371 (UMLS CUI [1,2])
variety of sexual activities
Code List
During the past 4 weeks, how satisfied have you been with the variety of sexual activities you engage in with your partner?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
Item
During the past 4 weeks, how satisfied have you been with your sexual relationship in general?
integer
C0871356 (UMLS CUI [1])
sexual relationship
Code List
During the past 4 weeks, how satisfied have you been with your sexual relationship in general?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
Item
How satisfied do you think your partner has been with your sexual relationship, in general, during the past 4 weeks?
integer
C0871356 (UMLS CUI [1,1])
C0556470 (UMLS CUI [1,2])
C0682323 (UMLS CUI [1,3])
satisfaction of partner with sexual relationship
Code List
How satisfied do you think your partner has been with your sexual relationship, in general, during the past 4 weeks?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
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