Version 2.77

Term Description

"FACIT" (Functional Assessment of Chronic Illness Therapy) was adopted as the formal name of the measurement system in 1997 to portray the expansion of the more familiar "FACT" (Functional Assessment of Cancer Therapy) series of questionnaires into other chronic illnesses and conditions. Thus, FACIT is a broader, more encompassing term that includes the FACT questionnaires under its umbrella. FACIT scales are constructed to complement the FACT-G, addressing relevant disease-, treatment-, or condition-related issues not already covered in the general questionnaire. Each is intended to be as specific as necessary to capture the clinically-relevant problems associated with a given condition or symptom, yet general enough to allow for comparison across diseases, and extension, as appropriate, to other chronic medical conditions. The latest version of the FACIT Measurement System, Version 4, was designed to enhance clarity and precision of measurement without threatening its established reliability and validity (from Version 3). Formatting simplification, item-reduction, and rewording (standardizing items across scales) constitute the major areas of change from version 3 to 4.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation David Cella, PhDCopyright Copyright © 2010 David Cella, PhD. FACIT Copyright FACIT Copyright

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
70505-3 Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
Indent70496-5 Functional Assessment of Cancer Therapy for patients with breast cancer questionnaire - version 4 (FACT-B) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70868-5 Additional concerns - FACT-B [FACIT]
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70306-6 I am self-conscious about the way I dress
IndentIndentIndent70307-4 One or more of my arms are swollen or tender
IndentIndentIndent70308-2 I feel sexually attractive
IndentIndentIndent70309-0 I am bothered by hair loss
IndentIndentIndent70310-8 I worry that other members of my family might someday get the same illness I have
IndentIndentIndent70311-6 I worry about the effect of stress on my illness
IndentIndentIndent70312-4 I am bothered by a change in weight
IndentIndentIndent70313-2 I am able to feel like a woman
IndentIndentIndent70481-7 I have certain parts of my body where I experience pain
Indent70497-3 Functional Assessment of Cancer Therapy for patients with bladder cancer questionnaire - version 4 (FACT-Bl) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70869-3 Additional concerns - FACT-Bl [FACIT]
IndentIndentIndent70314-0 I have trouble controlling my urine
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70347-0 I have control of my bowels
IndentIndentIndent70315-7 I urinate more frequently than usual
IndentIndentIndent70349-6 I have diarrhea
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70351-2 I like the appearance of my body
IndentIndentIndent70316-5 It burns when I urinate
IndentIndentIndent70317-3 I am interested in sex
IndentIndentIndent70318-1 (For men only) I am able to have and maintain an erection
IndentIndentIndent70482-5 Do you have an ostomy appliance?
IndentIndentIndent70352-0 I am embarrassed by my ostomy appliance
IndentIndentIndent70353-8 Caring for my ostomy appliance is difficult
Indent70503-8 Functional Assessment of Cancer Therapy for patients with brain cancer questionnaire - version 4 (FACT-Br) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70870-1 Additional concerns - FACT-Br [FACIT]
IndentIndentIndent70323-1 I am able to concentrate
IndentIndentIndent70334-8 I have had seizures (convulsions)
IndentIndentIndent70337-1 I can remember new things
IndentIndentIndent70338-9 I get frustrated that I cannot do the things I used to
IndentIndentIndent70339-7 I am afraid of having a seizure (convulsion)
IndentIndentIndent70340-5 I have trouble with my eyesight
IndentIndentIndent70341-3 I feel independent
IndentIndentIndent70477-5 I have trouble hearing
IndentIndentIndent70342-1 I am able to find the right words to say what I mean
IndentIndentIndent70343-9 I have difficulty expressing my thoughts
IndentIndentIndent70324-9 I am bothered by the change in my personality
IndentIndentIndent70325-6 I am able to make decisions and take responsibility
IndentIndentIndent70326-4 I am bothered by the drop in my contribution to the family
IndentIndentIndent70327-2 I am able to put my thoughts together
IndentIndentIndent70328-0 I need help caring for myself - bathing, dressing, eating, etc.
IndentIndentIndent70329-8 I am able to put my thoughts into action
IndentIndentIndent70330-6 I am able to read like I used to
IndentIndentIndent70331-4 I am able to write like I used to
IndentIndentIndent70332-2 I am able to drive my vehicle (my car, truck, etc)
IndentIndentIndent70333-0 I have trouble feeling sensation in my arms, hands or legs
IndentIndentIndent70335-5 I have weakness in my arms or legs
IndentIndentIndent70336-3 I have trouble with coordination
IndentIndentIndent70302-5 I get headaches
Indent70507-9 Functional Assessment of Cancer Therapy for patients with colorectal cancer questionnaire - version 4 (FACT-C) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70871-9 Additional concerns - FACT-C [FACIT]
IndentIndentIndent70345-4 I have swelling or cramps in my stomach
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70347-0 I have control of my bowels
IndentIndentIndent70348-8 I can digest my food well
IndentIndentIndent70349-6 I have diarrhea
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70351-2 I like the appearance of my body
IndentIndentIndent70482-5 Do you have an ostomy appliance?
IndentIndentIndent70352-0 I am embarrassed by my ostomy appliance
IndentIndentIndent70353-8 Caring for my ostomy appliance is difficult
Indent70508-7 Functional Assessment of Cancer Therapy for patients with cancer in the central nervous system questionnaire - version 4 (FACT-CNS) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70872-7 Additional concerns - FACT-CNS [FACIT]
IndentIndentIndent70302-5 I get headaches
IndentIndentIndent70337-1 I can remember new things
IndentIndentIndent70354-6 I am able to maintain my balance
IndentIndentIndent70355-3 I am able to walk
IndentIndentIndent70340-5 I have trouble with my eyesight
IndentIndentIndent70343-9 I have difficulty expressing my thoughts
IndentIndentIndent70356-1 I have strength in my arms
IndentIndentIndent70357-9 I have strength in my legs
IndentIndentIndent70358-7 I have numbness in my legs
IndentIndentIndent70359-5 I have a pain in my back
IndentIndentIndent70314-0 I have trouble controlling my urine
IndentIndentIndent70347-0 I have control of my bowels
Indent70509-5 Functional Assessment of Cancer Therapy for patients with cancer of the cervix questionnaire - version 4 (FACT-Cx) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70873-5 Additional concerns - FACT-Cx [FACIT]
IndentIndentIndent70360-3 I am bothered by discharge or bleeding from my vagina
IndentIndentIndent70361-1 I am bothered by an odor coming from my vagina
IndentIndentIndent70362-9 I am afraid to have sex
IndentIndentIndent70308-2 I feel sexually attractive
IndentIndentIndent70363-7 My vagina feels too narrow or short
IndentIndentIndent70321-5 I have concerns about my ability to have children
IndentIndentIndent70364-5 I am afraid the treatment will harm my body
IndentIndentIndent70317-3 I am interested in sex
IndentIndentIndent70351-2 I like the appearance of my body
IndentIndentIndent70365-2 I am bothered by constipation
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70314-0 I have trouble controlling my urine
IndentIndentIndent70316-5 It burns when I urinate
IndentIndentIndent70366-0 I have discomfort when I urinate
IndentIndentIndent70427-0 I am able to eat the foods that I like
Indent70510-3 Functional Assessment of Cancer Therapy for patients with esophageal cancer questionnaire - version 4 (FACT-E) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70874-3 Additional concerns - FACT-E [FACIT]
IndentIndentIndent70427-0 I am able to eat the foods that I like
IndentIndentIndent70431-2 My mouth is dry
IndentIndentIndent70432-0 I have trouble breathing
IndentIndentIndent70433-8 My voice has its usual quality and strength
IndentIndentIndent70434-6 I am able to eat as much food as I want
IndentIndentIndent70428-8 I am able to communicate with others
IndentIndentIndent70436-1 I can swallow naturally and easily
IndentIndentIndent70367-8 I have difficulty swallowing solid foods
IndentIndentIndent70368-6 I have difficulty swallowing soft or mashed foods
IndentIndentIndent70369-4 I have difficulty swallowing liquids
IndentIndentIndent70370-2 I have a pain in my chest when I swallow
IndentIndentIndent70371-0 I choke when I swallow
IndentIndentIndent70372-8 I am able to enjoy meals with family or friends
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70373-6 I wake at night because of coughing
IndentIndentIndent70301-7 I have a pain in my stomach area
IndentIndentIndent70346-2 I am losing weight
Indent70511-1 Functional Assessment of Cancer Therapy for patients with endometrial cancer questionnaire - version 4 (FACT-En) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70875-0 Additional concerns - FACT-En [FACIT]
IndentIndentIndent70478-3 I have swelling in my stomach area
IndentIndentIndent70480-9 I have cramps in my stomach area
IndentIndentIndent70424-7 I have discomfort or pain in my stomach area
IndentIndentIndent70381-9 I have vaginal bleeding or spotting
IndentIndentIndent70380-1 I have vaginal discharge
IndentIndentIndent70419-7 I am unhappy about a change in my appearance
IndentIndentIndent70376-9 I have hot flashes
IndentIndentIndent70378-5 I have cold sweats
IndentIndentIndent70379-3 I have night sweats
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70382-7 I have pain or discomfort with intercourse
IndentIndentIndent70374-4 I have trouble digesting food
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70365-2 I am bothered by constipation
IndentIndentIndent70315-7 I urinate more frequently than usual
IndentIndentIndent70375-1 I have discomfort or pain in my pelvic area
Indent70512-9 Functional Assessment of Cancer Therapy for patients with gastric cancer questionnaire - version 4 (FACT-Ga) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70876-8 Additional concerns - FACT-Ga [FACIT]
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70383-5 I have a loss of appetite
IndentIndentIndent70387-6 I am bothered by reflux or heartburn
IndentIndentIndent70427-0 I am able to eat the foods that I like
IndentIndentIndent70389-2 I have discomfort or pain when I eat
IndentIndentIndent70525-1 I have a feeling of fullness or heaviness in my stomach area
IndentIndentIndent70345-4 I have swelling or cramps in my stomach
IndentIndentIndent70385-0 I have trouble swallowing food
IndentIndentIndent70388-4 I am bothered by a change in my eating habits
IndentIndentIndent70372-8 I am able to enjoy meals with family or friends
IndentIndentIndent70384-3 My digestive problems interfere with my usual activities
IndentIndentIndent70391-8 I avoid going out to eat because of my illness
IndentIndentIndent70390-0 I have stomach problems that worry me
IndentIndentIndent70424-7 I have discomfort or pain in my stomach area
IndentIndentIndent70386-8 I am bothered by gas (flatulence)
IndentIndentIndent70349-6 I have diarrhea
IndentIndentIndent70304-1 I feel tired
IndentIndentIndent70728-1 I have trouble starting things because I am tired
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70447-8 Because of my illness, I have difficulty planning for the future
Indent70514-5 Functional Assessment of Cancer Therapy for patients with hepatobiliary cancer - version 4 (FACT-Hep) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70877-6 Additional concerns - FACT-Hep [FACIT]
IndentIndentIndent70345-4 I have swelling or cramps in my stomach
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70347-0 I have control of my bowels
IndentIndentIndent70348-8 I can digest my food well
IndentIndentIndent70349-6 I have diarrhea
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70419-7 I am unhappy about a change in my appearance
IndentIndentIndent70359-5 I have a pain in my back
IndentIndentIndent70365-2 I am bothered by constipation
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndentIndent70420-5 I am bothered by jaundice or yellow color to my skin
IndentIndentIndent70421-3 I have had fevers (episodes of high body temperature)
IndentIndentIndent70526-9 I have had itching
IndentIndentIndent70422-1 I have had a change in the way food tastes
IndentIndentIndent70423-9 I have had chills
IndentIndentIndent70431-2 My mouth is dry
IndentIndentIndent70424-7 I have discomfort or pain in my stomach area
Indent70513-7 Functional Assessment of Cancer Therapy for patients with head and neck cancer questionnaire - version 4 (FACT H and N) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70878-4 Additional concerns - FACT-H and N [FACIT]
IndentIndentIndent70427-0 I am able to eat the foods that I like
IndentIndentIndent70431-2 My mouth is dry
IndentIndentIndent70432-0 I have trouble breathing
IndentIndentIndent70433-8 My voice has its usual quality and strength
IndentIndentIndent70434-6 I am able to eat as much food as I want
IndentIndentIndent70435-3 I am unhappy with how my face and neck look
IndentIndentIndent70436-1 I can swallow naturally and easily
IndentIndentIndent70437-9 I smoke cigarettes of other tobacco products
IndentIndentIndent70438-7 I drink alcohol (beer, wine, etc.)
IndentIndentIndent70428-8 I am able to communicate with others
IndentIndentIndent70429-6 I can eat solid food
IndentIndentIndent70430-4 I have pain in my mouth, throat or neck
Indent70515-2 Functional Assessment of Cancer Therapy for patients with lung cancer questionnaire - version 4 (FACT-L) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70879-2 Additional concerns - FACT-L [FACIT]
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70441-1 My thinking is clear
IndentIndentIndent70442-9 I have been coughing
IndentIndentIndent70309-0 I am bothered by hair loss
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70443-7 I feel tightness in my chest
IndentIndentIndent70444-5 Breathing is easy for me
IndentIndentIndent70483-3 Have you ever smoked?
IndentIndentIndent70445-2 I regret my smoking
Indent70516-0 Functional Assessment of Cancer Therapy for patients with leukemia questionnaire - version 4 (FACT-Leu) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70880-0 Additional concerns - FACT-Leu [FACIT]
IndentIndentIndent70344-7 I am bothered by fevers (episodes of high body temperature)
IndentIndentIndent70481-7 I have certain parts of my body where I experience pain
IndentIndentIndent70527-7 I am bothered by the chills
IndentIndentIndent70379-3 I have night sweats
IndentIndentIndent70446-0 I am bothered by lumps or swelling in certain part of my body (e.g. neck, armpits, or groin)
IndentIndentIndent70484-1 I bleed easily
IndentIndentIndent70485-8 I bruise easily
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70528-5 I get tired easily
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndentIndent70485-8 I bruise easily
IndentIndentIndent70470-0 I worry about getting infections
IndentIndentIndent70448-6 I feel uncertain about my future health
IndentIndentIndent70449-4 I worry that I might get new symptoms of my illness
IndentIndentIndent70319-9 I have emotional ups and downs
IndentIndentIndent70450-2 I feel isolated from others because of my illness or treatment
Indent70517-8 Functional Assessment of Cancer Therapy for patients with non-Hodgkins lymphoma questionnaire - version 4 (FACT-Lym) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70881-8 Additional concerns - FACT-Lym [FACIT]
IndentIndentIndent70481-7 I have certain parts of my body where I experience pain
IndentIndentIndent70446-0 I am bothered by lumps or swelling in certain part of my body (e.g. neck, armpits, or groin)
IndentIndentIndent70344-7 I am bothered by fevers (episodes of high body temperature)
IndentIndentIndent70379-3 I have night sweats
IndentIndentIndent70451-0 I am bothered by itching
IndentIndentIndent70452-8 I have trouble sleeping at night
IndentIndentIndent70528-5 I get tired easily
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70383-5 I have a loss of appetite
IndentIndentIndent70530-1 I have trouble concentrating
IndentIndentIndent70470-0 I worry about getting infections
IndentIndentIndent70449-4 I worry that I might get new symptoms of my illness
IndentIndentIndent70450-2 I feel isolated from others because of my illness or treatment
IndentIndentIndent70319-9 I have emotional ups and downs
IndentIndentIndent70447-8 Because of my illness, I have difficulty planning for the future
Indent70518-6 Functional Assessment of Cancer Therapy for patients with melanoma questionnaire - version 4 (FACT-M) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70882-6 Additional concerns - FACT-M [FACIT]
IndentIndentIndent70453-6 I have pain at my melanoma site or surgical site
IndentIndentIndent70462-7 I have noticed new changes in my skin (lumps, bumps, color)
IndentIndentIndent70463-5 I worry about the appearance of surgical scars
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70440-3 I have to limit my physical activity because of my condition
IndentIndentIndent70302-5 I get headaches
IndentIndentIndent70421-3 I have had fevers (episodes of high body temperature)
IndentIndentIndent70345-4 I have swelling or cramps in my stomach
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70464-3 I have aches and pains in my bones
IndentIndentIndent70465-0 I have noticed blood in my stool
IndentIndentIndent70439-5 I have to limit my social activity because of my condition
IndentIndentIndent70469-2 I feel overwhelmed by my condition
IndentIndentIndent70466-8 I isolate myself from others because of my condition
IndentIndentIndent70467-6 I have difficulty thinking clearly - remembering, concentrating
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70454-4 I have swelling at my melanoma site
IndentIndentIndent70455-1 I have swelling as a result of surgery
IndentIndentIndent70456-9 I am bothered by the amount of swelling
IndentIndentIndent70457-7 Movement of my swollen area is painful
IndentIndentIndent70458-5 Swelling keeps me from doing the things I want to do
IndentIndentIndent70459-3 Swelling keeps me from wearing clothes or shoes I want to wear
IndentIndentIndent70460-1 I feel numbness at my surgical site
IndentIndentIndent70461-9 I have good range of movement in my arm or leg
Indent70519-4 Functional Assessment of Cancer Therapy for patient with multiple myeloma questionnaire - version 4 (FACT-MM) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70883-4 Additional concerns - FACT-MM [FACIT]
IndentIndentIndent70481-7 I have certain parts of my body where I experience pain
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70528-5 I get tired easily
IndentIndentIndent70530-1 I have trouble concentrating
IndentIndentIndent70470-0 I worry about getting infections
IndentIndentIndent70531-9 I feel discouraged about my illness
IndentIndentIndent70447-8 Because of my illness, I have difficulty planning for the future
IndentIndentIndent70449-4 I worry that I might get new symptoms of my illness
IndentIndentIndent70319-9 I have emotional ups and downs
IndentIndentIndent70322-3 I have bone pain
IndentIndentIndent70303-3 I need help doing my usual activities
IndentIndentIndent70468-4 I have trouble walking because of the pain
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70377-7 I have gained weight
Indent70520-2 Functional Assessment of Cancer Therapy for patients with nasopharyngeal cancer questionnaire - version 4 (FACT-NP) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70884-2 Additional concerns - FACT-NP [FACIT]
IndentIndentIndent70427-0 I am able to eat the foods that I like
IndentIndentIndent70431-2 My mouth is dry
IndentIndentIndent70433-8 My voice has its usual quality and strength
IndentIndentIndent70434-6 I am able to eat as much food as I want
IndentIndentIndent70436-1 I can swallow naturally and easily
IndentIndentIndent70435-3 I am unhappy with how my face and neck look
IndentIndentIndent70428-8 I am able to communicate with others
IndentIndentIndent70429-6 I can eat solid food
IndentIndentIndent70430-4 I have pain in my mouth, throat or neck
IndentIndentIndent70471-8 I have difficulty moving my neck and shoulders because of stiffness
IndentIndentIndent70472-6 I am bothered by ringing in my ears
IndentIndentIndent70477-5 I have trouble hearing
IndentIndentIndent70473-4 I am bothered by worsening eyesight
IndentIndentIndent70474-2 I have trouble smelling
IndentIndentIndent70475-9 I can enjoy the taste of food
IndentIndentIndent70476-7 I am bothered by having a blocked nose
Indent70521-0 Functional Assessment of Cancer Therapy for patients with ovarian cancer questionnaire - version 4 (FACT-O) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70885-9 Additional concerns - FACT-O [FACIT]
IndentIndentIndent70478-3 I have swelling in my stomach area
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70347-0 I have control of my bowels
IndentIndentIndent70479-1 I have been vomiting
IndentIndentIndent70309-0 I am bothered by hair loss
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70351-2 I like the appearance of my body
IndentIndentIndent70320-7 I am able to get around by myself
IndentIndentIndent70313-2 I am able to feel like a woman
IndentIndentIndent70480-9 I have cramps in my stomach area
IndentIndentIndent70317-3 I am interested in sex
IndentIndentIndent70321-5 I have concerns about my ability to have children
Indent71433-7 Functional Assessment of Cancer Therapy for patients with prostate cancer questionnaire - version 4 (FACT-P) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent71434-5 Additional concerns - FACT-P [FACIT]
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent71435-2 I have aches and pains that bother me
IndentIndentIndent70481-7 I have certain parts of my body where I experience pain
IndentIndentIndent70558-2 My pain keeps me from doing things I want to do
IndentIndentIndent71436-0 I am satisfied with my present level of comfort
IndentIndentIndent71437-8 I am able to feel like a man
IndentIndentIndent70567-3 I have trouble moving my bowels
IndentIndentIndent70566-5 I have difficulty urinating
IndentIndentIndent70315-7 I urinate more frequently than usual
IndentIndentIndent70559-0 My problems with urinating limit my activities
IndentIndentIndent71438-6 I am able to have and maintain an erection
Indent70522-8 Functional Assessment of Cancer Therapy for patients with vulva cancer questionnaire - version 4 (FACT-V) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70886-7 Additional concerns - FACT-V [FACIT]
IndentIndentIndent70486-6 I am bothered by discharge or bleeding from my vulva
IndentIndentIndent70487-4 I am bothered by odor coming from my vulva
IndentIndentIndent70362-9 I am afraid to have sex
IndentIndentIndent70488-2 I am bothered by swelling (fluid in my legs)
IndentIndentIndent70363-7 My vagina feels too narrow or short
IndentIndentIndent70489-0 I am bothered by discomfort in my groin or legs
IndentIndentIndent70364-5 I am afraid the treatment will harm my body
IndentIndentIndent70317-3 I am interested in sex
IndentIndentIndent70351-2 I like the appearance of my body
IndentIndentIndent70365-2 I am bothered by constipation
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70314-0 I have trouble controlling my urine
IndentIndentIndent70490-8 I am bothered by itching/burning in my vulva area
IndentIndentIndent70366-0 I have discomfort when I urinate
IndentIndentIndent70491-6 I am bothered by pain or numbness in my vulva area
IndentIndentIndent70492-4 I have trouble bending
IndentIndentIndent70493-2 I have discomfort when I'm sitting
IndentIndentIndent70494-0 I am bothered by wearing compression stockings
IndentIndentIndent70427-0 I am able to eat the foods that I like

Fully-Specified Name

Component
Functional assessment of chronic illness therapy - cancer specific measures panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.50
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=70505-3
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/70505-3