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Cervical Cancer NCT01101451 Quality of Life - GOG-0263: Quality of Life Questionnaire - 2933853v1.0 - GOG-0263: Quality of Life Questionnaire

- 1/9/15 - 1 form, 7 itemgroups, 59 items, 1 language
Itemgroups: Header Module, PHYSICAL WELLBEING, SOCIAL/FAMILY WELL-BEING, EMOTIONAL WELL-BEING, FUNCTIONAL WELL-BEING, Additional Concerns, To be Completed by Clinical Staff
GOG-0263: Quality of Life Questionnaire Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7170934C-5F81-20E2-E040-BB89AD434964

Cervical Cancer NCT00064077 Quality of Life - Quality of Life Questionnaire, GOG-0204 - 2079887v3.0 - Quality of Life Questionnaire, GOG-0204

- 1/9/15 - 1 form, 9 itemgroups, 54 items, 1 language
Itemgroups: Header, Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, Functional Well-Being, Overall Quality of Life, Additional Concerns, BRIEF PAIN INVENTORY, CCRR MODULE
Quality of Life Questionnaire, GOG-0204 Comparison of Four Combination Chemotherapy Regimens Using Cisplatin in Treating Patients With Stage IVB, Recurrent, or Persistent Cancer of the Cervix Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B58D04F2-7ACB-11E8-E034-0003BA12F5E7

Cervical Cancer NCT01101451 Quality of Life - Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ) - 2785914v1.0 - Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ)

- 1/9/15 - 1 form, 6 itemgroups, 21 items, 1 language
Itemgroups: HEADER MODULE, Smoking History Questionnaire, Personal Smoking Section, Household Smoking Section, Second Hand Smoking Section, COMMENTS
Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ) Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=572CCDFB-3AD6-1370-E044-0003BA3F9857

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