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Quality of Life Core Questionnaire (Form 24-QLC) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B0EA521D-9A9B-6310-E034-0003BA12F5E7
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- 8/26/12 8/26/12 -
- 1/9/15 1/9/15 - Martin Dugas
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January 9, 2015
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Breast Cancer NCT00659373 Quality of Life - Quality of Life Core Questionnaire (Form 24-QLC) - 2073639v3.0
QUALITY OF LIFE CORE QUESTIONNAIRE (Form 24-QLC) Patient Instructions: We would like to know how strongly you are affected by your illness and treatment. Please answer all of the following questions by placing a vertical mark on the line depending on how you assess yourself. For example: Have you had trouble sleeping? None A lot This mark would indicate considerable sleeping difficulties. Your information will be treated as strictly confidential. Thank you for replying!
- StudyEvent: Quality of Life Core Questionnaire (Form 24-QLC)