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Epworth Sleepiness Scale (ESS)

- 28/11/16 - 1 modulo, 3 itemgroups, 13 elementi, 2 lingue
Itemgroups: Personal data, Epworth Sleepiness Scale, Scoring
The ESS measures a person's general level of daytime sleepiness, or their average sleep propensity in daily life (ASP). It is based on retrospective reports of the likelihood of dozing off or falling asleep in a variety of different situations. The ESS is a commonly used method for measuring a person's ASP, used worldwide in many different languages. http://epworthsleepinessscale.com/

International Index of Erectile Function - Domain of erectile function (IEFF-EF)

- 23/11/17 - 1 modulo, 3 itemgroups, 12 elementi, 1 linguaggio
Itemgroups: Personal data, IIEF-EF Questionnaire, IIEF-EF Scoring
The IIEF addresses the relevant domains of male sexual function (that is, erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction), is psychometrically sound, and has been linguistically validated in 10 languages. This questionnaire is readily self-administered in research or clinical settings. The IIEF demonstrates the sensitivity and specificity for detecting treatment-related changes in patients with erectile dysfunction. The questions in this document in particular refer to the domain of the quality of the erectile function (EF), based on the IIEF (International Index of Erectile Function; Rosen RC et al., Urology 1997, 49: 822-830.).

Aging Male Symptoms (AMS) Scale

- 28/11/17 - 1 modulo, 5 itemgroups, 23 elementi, 1 linguaggio
Itemgroups: Personal data, Physical well-being, Mental well-being, Sexual well-being, AMS Scoring
The AMS scale was designed to measure the severity of aging-symptoms and their impact on the health-related quality of life (HRQoL) in a standardized manner and might serve as a screening instrument for androgen deficiency. It was developed by the The Berlin Center for Epidemiology and Health Research (ZEG Berlin: acronym for the German name: Zentrum für Epidemiologie & Gesundheitsforschung). http://www.aging-males-symptoms-scale.info/about.htm Heinemann LAJ, Zimmermann T, Vermeulen A, Thiel C. A New 'Aging Male's Symptoms' (AMS) Rating Scale. The Aging Male 1999; 2:105-114. Heinemann et al. The Aging Males' Symptoms rating scale. Cultural and linguistic validation into English. The Aging Male 2001; 4(1):14-22.

DASH-Questionnaire (UKM) - DASH-Fragebogen ORTH MS University Hospital Muenster (UKM)

- 07/11/17 - 1 modulo, 6 itemgroups, 44 elementi, 1 linguaggio
Itemgroups: Abilities during last week, Symptoms during the last week, DASH Score, Sports and music module (optional), Work module (optional), DASH Score, optional modules
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: DASH-Questionnaire. Copyright and Ownership: Institute for Work & Health (IWH), Toronto, ON Canada, Email: dash@iwh.on.ca. German description: Der DASH-Fragebogen - Disabilities of the Arm, Shoulder and Hand Dieser Fragebogen beschäftigt sich sowohl mit Ihren Beschwerden als auch mit Ihren Fähigkeiten, bestimmte Tätigkeiten auszuführen. Bitte beantworten Sie alle Fragen gemäß Ihres Zustands in der vergangenen Woche, indem Sie einfach die entsprechende Zahl ankreuzen. Wenn Sie in der vergangenen Woche keine Gelegenheit gehabt haben, eine der unten aufgeführten Tätigkeiten durchzuführen, so wählen Sie die Antwort aus, die Ihrer Meinung nach am ehesten zutreffen würde. Es ist nicht entscheidend, mit welchem Arm oder welcher Hand Sie diese Tätigkeiten ausüben. Antworten Sie Ihrer Fähigkeit entsprechend, ungeachtet, wie Sie die Aufgaben durchführen konnten.

Questionnaire Oral and maxillofacial surgery - Questionnaire

- 17/09/21 - 1 modulo, 2 itemgroups, 14 elementi, 2 lingue
Itemgroups: Patient demographics, Insurance
Questionnaire converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by surgery Prof. Dr. Edgar Schäfer

Chest questionnaire Pediatric surgery UKM - Chest questionnaire

- 20/09/21 - 1 modulo, 6 itemgroups, 31 elementi, 2 lingue
Itemgroups: Patient demographics, Congenital breast deformities, Impaired health due to chest deformity, Standing position improvements, Reason to play sports, What do you dislike about physical education?
Chest questionnaire form converted to ODM format. Routine documentation of University Hospital of Münster.

Patient questionnaire Psychosomatic medicine UKM - Patient questionnaire

- 17/09/21 - 1 modulo, 7 itemgroups, 30 elementi, 2 lingue
Itemgroups: Patient demographics, Symptoms, GP, Outpatient departement, Household, Qualifications, Family history
Patient questionnaire to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Univ.-Prof. Dr. Dr.med. Gereon Heuft Klinik für Psychosomatik und Psychotherapie Universitätsklinikum Münster Domagkstr.22 48149 Münster

Questionnaire for the assessment of neurologic rehabilitation phases University Hospital Muenster (UKM) - Questionnaire for the assessment of neurologic rehabilitation phasesUniversity Hospital Muenster (UKM)

- 21/10/16 - 1 modulo, 2 itemgroups, 24 elementi, 1 linguaggio
Itemgroups: Demographic Information, Phase assessment
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Fragebogen zur Phasenbeurteilung für die Neurologische Rehabilitation Phase B und C

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