Patient ID
Item
Patient ID
integer
C1269815 (UMLS CUI [1])
Time Relative to Surgery
Item
Time Relative to Surgery (e.g. pre-operative, 3 months post-operative, ...)
text
C0439564 (UMLS CUI [1,1])
C2939459 (UMLS CUI [1,2])
Item
The aim of this questionnaire is to establish what difficulties you have in your daily life due to impaired sight. So that we can develop our healthcare as well as possible we are keen for you to answer the questions in the questionnaire as honestly as you can. The questionnaire contains questions about your difficulties due to impaired sight in connection with certain everyday tasks. If you use glasses for distance and/or close-up purposes, the questions are about what it is like when you use your best glasses. The questions in this questionnaire apply to your situation during the past 4 weeks. When you answer the questions you must try to think only of the difficulties that your sight may be causing you. We appreciate that it may be difficult to decide just what your sight means to you if you also have other problems such as joint pains or dizziness for example. We would still ask you to try to answer how important you think your sight is in your ability to perform the following tasks. When you are asked to state your difficulties, we have given three response options. We call them very great difficulty, great difficulty and some difficulty. Different people may put things differently. Try to see the three response options as three equal size parts of a scale ranging from the greatest to the least difficulty caused by your sight in performing various activities. An example of how we envisage the scale with the three different response options: Greatest ________________ / ________________ / ________________ least very great difficulty great difficulty some difficulty 1. Do you find that your sight at present in some way causes you difficulty in your everyday life?
integer
C0001288 (UMLS CUI [1,1])
C0332218 (UMLS CUI [1,2])
C3665347 (UMLS CUI [1,3])
Code List
The aim of this questionnaire is to establish what difficulties you have in your daily life due to impaired sight. So that we can develop our healthcare as well as possible we are keen for you to answer the questions in the questionnaire as honestly as you can. The questionnaire contains questions about your difficulties due to impaired sight in connection with certain everyday tasks. If you use glasses for distance and/or close-up purposes, the questions are about what it is like when you use your best glasses. The questions in this questionnaire apply to your situation during the past 4 weeks. When you answer the questions you must try to think only of the difficulties that your sight may be causing you. We appreciate that it may be difficult to decide just what your sight means to you if you also have other problems such as joint pains or dizziness for example. We would still ask you to try to answer how important you think your sight is in your ability to perform the following tasks. When you are asked to state your difficulties, we have given three response options. We call them very great difficulty, great difficulty and some difficulty. Different people may put things differently. Try to see the three response options as three equal size parts of a scale ranging from the greatest to the least difficulty caused by your sight in performing various activities. An example of how we envisage the scale with the three different response options: Greatest ________________ / ________________ / ________________ least very great difficulty great difficulty some difficulty 1. Do you find that your sight at present in some way causes you difficulty in your everyday life?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
2. Are you satisfied or dissatisfied with your sight at present?
integer
C0042789 (UMLS CUI [1,1])
C0242428 (UMLS CUI [1,2])
Code List
2. Are you satisfied or dissatisfied with your sight at present?
CL Item
Very dissatisfied (1)
CL Item
Fairly dissatisfied (2)
CL Item
Fairly satisfied (3)
CL Item
Very satisfied (4)
CL Item
Cannot decide (5)
Item
3. Do you have difficulty reading text in newspapers because of your sight?
integer
C3176682 (UMLS CUI [1])
Code List
3. Do you have difficulty reading text in newspapers because of your sight?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
4. Do you have difficulty recognizing the faces of people you meet?
integer
C0870537 (UMLS CUI [1,1])
C0332218 (UMLS CUI [1,2])
Code List
4. Do you have difficulty recognizing the faces of people you meet?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
5. Do you have difficulty seeing the prices of goods when shopping because of your sight?
integer
C0080045 (UMLS CUI [1,1])
C0599621 (UMLS CUI [1,2])
C0332218 (UMLS CUI [1,3])
Code List
5. Do you have difficulty seeing the prices of goods when shopping because of your sight?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
6. Do you have difficulty seeing to walk on uneven surfaces (for example cobblestones) because of your sight?
integer
C4074937 (UMLS CUI [1,1])
C3665347 (UMLS CUI [1,2])
Code List
6. Do you have difficulty seeing to walk on uneven surfaces (for example cobblestones) because of your sight?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
7. Do you have difficulty seeing to do handicrafts, woodwork, etc. because of your sight?
integer
C0599621 (UMLS CUI [1,1])
C0332218 (UMLS CUI [1,2])
C3665347 (UMLS CUI [1,3])
Code List
7. Do you have difficulty seeing to do handicrafts, woodwork, etc. because of your sight?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
8. Do you have difficulty reading subtitles on TV because of your sight?
integer
C0039461 (UMLS CUI [1,1])
C0332218 (UMLS CUI [1,2])
C3665347 (UMLS CUI [1,3])
Code List
8. Do you have difficulty reading subtitles on TV because of your sight?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)
Item
9. Do you have difficulty seeing to engage in activity/hobby that you are interested in because of your sight?
integer
C0441655 (UMLS CUI [1,1])
C0019826 (UMLS CUI [1,2])
C0332218 (UMLS CUI [1,3])
C3665347 (UMLS CUI [1,4])
Code List
9. Do you have difficulty seeing to engage in activity/hobby that you are interested in because of your sight?
CL Item
Yes, very great difficulty (1)
CL Item
Yes, great difficulty (2)
CL Item
Yes, some difficulty (3)
CL Item
No, no difficulty (4)
CL Item
Cannot decide (5)