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- 6/16/15 - 1 form, 22 itemgroups, 114 items, 1 language
Itemgroups: Header, Patient demographics, Reporting Period, Data amendment, Section I, Section II - Assessments Not Completed, FACT-D Subscale: Indicate reason(s) why form was not completed, FACT-GOG/Ntx: Indicate reason(s) why form was not completed, Patient Bowel Function/Uniscale Questionnaire: Indicate reason(s) why form was not completed, Section III - Assessment Completed, FACT-D Subscale: Was Assessment self-administered?, FACT-GOG/Ntx: Was Assessment self-administered?, Patient Bowel Function/Uniscale Questionnaire: Was Assessment self-administered?, FACT-D Subscale: How was the patient assisted?, FACT-GOG/Ntx: How was the patient assisted?, Patient Bowel Function/Uniscale Questionnaire: How was the patient assisted?, FACT-D Subscale: What was the reason for assistance?, FACT-GOG/Ntx: What was the reason for assistance?, Patient Bowel Function/Uniscale Questionnaire: What was the reason for assistance?, FACT-D Subscale: Who assisted or completed assessment?, FACT-GOG/Ntx: Who assisted or completed assessment?, Patient Bowel Function/Uniscale Questionnaire: Who assisted or completed assessment?