70505-3
Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
Active
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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70868-5 | Additional concerns - FACT-B [FACIT] | |||
| Indent Indent Indent70305-8 | I have been short of breath | |||
| Indent Indent Indent70306-6 | I am self-conscious about the way I dress | |||
| Indent Indent Indent70307-4 | One or more of my arms are swollen or tender | |||
| Indent Indent Indent70308-2 | I feel sexually attractive | |||
| Indent Indent Indent70309-0 | I am bothered by hair loss | |||
| Indent Indent Indent70310-8 | I worry that other members of my family might someday get the same illness I have | |||
| Indent Indent Indent70311-6 | I worry about the effect of stress on my illness | |||
| Indent Indent Indent70312-4 | I am bothered by a change in weight | |||
| Indent Indent Indent70313-2 | I am able to feel like a woman | |||
| Indent Indent Indent70481-7 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70869-3 | Additional concerns - FACT-Bl [FACIT] | |||
| Indent Indent Indent70314-0 | I have trouble controlling my urine | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70347-0 | I have control of my bowels | |||
| Indent Indent Indent70315-7 | I urinate more frequently than usual | |||
| Indent Indent Indent70349-6 | I have diarrhea | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70351-2 | I like the appearance of my body | |||
| Indent Indent Indent70316-5 | It burns when I urinate | |||
| Indent Indent Indent70317-3 | I am interested in sex | |||
| Indent Indent Indent70318-1 | (For men only) I am able to have and maintain an erection | |||
| Indent Indent Indent70482-5 | Do you have an ostomy appliance? | |||
| Indent Indent Indent70352-0 | I am embarrassed by my ostomy appliance | |||
| Indent Indent Indent70353-8 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70870-1 | Additional concerns - FACT-Br [FACIT] | |||
| Indent Indent Indent70323-1 | I am able to concentrate | |||
| Indent Indent Indent70334-8 | I have had seizures (convulsions) | |||
| Indent Indent Indent70337-1 | I can remember new things | |||
| Indent Indent Indent70338-9 | I get frustrated that I cannot do the things I used to | |||
| Indent Indent Indent70339-7 | I am afraid of having a seizure (convulsion) | |||
| Indent Indent Indent70340-5 | I have trouble with my eyesight | |||
| Indent Indent Indent70341-3 | I feel independent | |||
| Indent Indent Indent70477-5 | I have trouble hearing | |||
| Indent Indent Indent70342-1 | I am able to find the right words to say what I mean | |||
| Indent Indent Indent70343-9 | I have difficulty expressing my thoughts | |||
| Indent Indent Indent70324-9 | I am bothered by the change in my personality | |||
| Indent Indent Indent70325-6 | I am able to make decisions and take responsibility | |||
| Indent Indent Indent70326-4 | I am bothered by the drop in my contribution to the family | |||
| Indent Indent Indent70327-2 | I am able to put my thoughts together | |||
| Indent Indent Indent70328-0 | I need help caring for myself - bathing, dressing, eating, etc. | |||
| Indent Indent Indent70329-8 | I am able to put my thoughts into action | |||
| Indent Indent Indent70330-6 | I am able to read like I used to | |||
| Indent Indent Indent70331-4 | I am able to write like I used to | |||
| Indent Indent Indent70332-2 | I am able to drive my vehicle (my car, truck, etc) | |||
| Indent Indent Indent70333-0 | I have trouble feeling sensation in my arms, hands or legs | |||
| Indent Indent Indent70335-5 | I have weakness in my arms or legs | |||
| Indent Indent Indent70336-3 | I have trouble with coordination | |||
| Indent Indent Indent70302-5 | I get headaches | |||
| Indent70507-9 | Functional Assessment of Cancer Therapy for patients with colorectal cancer questionnaire - version 4 (FACT-C) [FACIT] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70871-9 | Additional concerns - FACT-C [FACIT] | |||
| Indent Indent Indent70345-4 | I have swelling or cramps in my stomach | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70347-0 | I have control of my bowels | |||
| Indent Indent Indent70348-8 | I can digest my food well | |||
| Indent Indent Indent70349-6 | I have diarrhea | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70351-2 | I like the appearance of my body | |||
| Indent Indent Indent70482-5 | Do you have an ostomy appliance? | |||
| Indent Indent Indent70352-0 | I am embarrassed by my ostomy appliance | |||
| Indent Indent Indent70353-8 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70872-7 | Additional concerns - FACT-CNS [FACIT] | |||
| Indent Indent Indent70302-5 | I get headaches | |||
| Indent Indent Indent70337-1 | I can remember new things | |||
| Indent Indent Indent70354-6 | I am able to maintain my balance | |||
| Indent Indent Indent70355-3 | I am able to walk | |||
| Indent Indent Indent70340-5 | I have trouble with my eyesight | |||
| Indent Indent Indent70343-9 | I have difficulty expressing my thoughts | |||
| Indent Indent Indent70356-1 | I have strength in my arms | |||
| Indent Indent Indent70357-9 | I have strength in my legs | |||
| Indent Indent Indent70358-7 | I have numbness in my legs | |||
| Indent Indent Indent70359-5 | I have a pain in my back | |||
| Indent Indent Indent70314-0 | I have trouble controlling my urine | |||
| Indent Indent Indent70347-0 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70873-5 | Additional concerns - FACT-Cx [FACIT] | |||
| Indent Indent Indent70360-3 | I am bothered by discharge or bleeding from my vagina | |||
| Indent Indent Indent70361-1 | I am bothered by an odor coming from my vagina | |||
| Indent Indent Indent70362-9 | I am afraid to have sex | |||
| Indent Indent Indent70308-2 | I feel sexually attractive | |||
| Indent Indent Indent70363-7 | My vagina feels too narrow or short | |||
| Indent Indent Indent70321-5 | I have concerns about my ability to have children | |||
| Indent Indent Indent70364-5 | I am afraid the treatment will harm my body | |||
| Indent Indent Indent70317-3 | I am interested in sex | |||
| Indent Indent Indent70351-2 | I like the appearance of my body | |||
| Indent Indent Indent70365-2 | I am bothered by constipation | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70314-0 | I have trouble controlling my urine | |||
| Indent Indent Indent70316-5 | It burns when I urinate | |||
| Indent Indent Indent70366-0 | I have discomfort when I urinate | |||
| Indent Indent Indent70427-0 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70874-3 | Additional concerns - FACT-E [FACIT] | |||
| Indent Indent Indent70427-0 | I am able to eat the foods that I like | |||
| Indent Indent Indent70431-2 | My mouth is dry | |||
| Indent Indent Indent70432-0 | I have trouble breathing | |||
| Indent Indent Indent70433-8 | My voice has its usual quality and strength | |||
| Indent Indent Indent70434-6 | I am able to eat as much food as I want | |||
| Indent Indent Indent70428-8 | I am able to communicate with others | |||
| Indent Indent Indent70436-1 | I can swallow naturally and easily | |||
| Indent Indent Indent70367-8 | I have difficulty swallowing solid foods | |||
| Indent Indent Indent70368-6 | I have difficulty swallowing soft or mashed foods | |||
| Indent Indent Indent70369-4 | I have difficulty swallowing liquids | |||
| Indent Indent Indent70370-2 | I have a pain in my chest when I swallow | |||
| Indent Indent Indent70371-0 | I choke when I swallow | |||
| Indent Indent Indent70372-8 | I am able to enjoy meals with family or friends | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70373-6 | I wake at night because of coughing | |||
| Indent Indent Indent70301-7 | I have a pain in my stomach area | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent70511-1 | Functional Assessment of Cancer Therapy for patients with endometrial cancer questionnaire - version 4 (FACT-En) [FACIT] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70875-0 | Additional concerns - FACT-En [FACIT] | |||
| Indent Indent Indent70478-3 | I have swelling in my stomach area | |||
| Indent Indent Indent70480-9 | I have cramps in my stomach area | |||
| Indent Indent Indent70424-7 | I have discomfort or pain in my stomach area | |||
| Indent Indent Indent70381-9 | I have vaginal bleeding or spotting | |||
| Indent Indent Indent70380-1 | I have vaginal discharge | |||
| Indent Indent Indent70419-7 | I am unhappy about a change in my appearance | |||
| Indent Indent Indent70376-9 | I have hot flashes | |||
| Indent Indent Indent70378-5 | I have cold sweats | |||
| Indent Indent Indent70379-3 | I have night sweats | |||
| Indent Indent Indent70426-2 | I feel fatigued | |||
| Indent Indent Indent70382-7 | I have pain or discomfort with intercourse | |||
| Indent Indent Indent70374-4 | I have trouble digesting food | |||
| Indent Indent Indent70305-8 | I have been short of breath | |||
| Indent Indent Indent70365-2 | I am bothered by constipation | |||
| Indent Indent Indent70315-7 | I urinate more frequently than usual | |||
| Indent Indent Indent70375-1 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70876-8 | Additional concerns - FACT-Ga [FACIT] | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70383-5 | I have a loss of appetite | |||
| Indent Indent Indent70387-6 | I am bothered by reflux or heartburn | |||
| Indent Indent Indent70427-0 | I am able to eat the foods that I like | |||
| Indent Indent Indent70389-2 | I have discomfort or pain when I eat | |||
| Indent Indent Indent70525-1 | I have a feeling of fullness or heaviness in my stomach area | |||
| Indent Indent Indent70345-4 | I have swelling or cramps in my stomach | |||
| Indent Indent Indent70385-0 | I have trouble swallowing food | |||
| Indent Indent Indent70388-4 | I am bothered by a change in my eating habits | |||
| Indent Indent Indent70372-8 | I am able to enjoy meals with family or friends | |||
| Indent Indent Indent70384-3 | My digestive problems interfere with my usual activities | |||
| Indent Indent Indent70391-8 | I avoid going out to eat because of my illness | |||
| Indent Indent Indent70390-0 | I have stomach problems that worry me | |||
| Indent Indent Indent70424-7 | I have discomfort or pain in my stomach area | |||
| Indent Indent Indent70386-8 | I am bothered by gas (flatulence) | |||
| Indent Indent Indent70349-6 | I have diarrhea | |||
| Indent Indent Indent70304-1 | I feel tired | |||
| Indent Indent Indent70728-1 | I have trouble starting things because I am tired | |||
| Indent Indent Indent70425-4 | I feel weak all over | |||
| Indent Indent Indent70447-8 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70877-6 | Additional concerns - FACT-Hep [FACIT] | |||
| Indent Indent Indent70345-4 | I have swelling or cramps in my stomach | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70347-0 | I have control of my bowels | |||
| Indent Indent Indent70348-8 | I can digest my food well | |||
| Indent Indent Indent70349-6 | I have diarrhea | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70419-7 | I am unhappy about a change in my appearance | |||
| Indent Indent Indent70359-5 | I have a pain in my back | |||
| Indent Indent Indent70365-2 | I am bothered by constipation | |||
| Indent Indent Indent70426-2 | I feel fatigued | |||
| Indent Indent Indent61890-0 | During the past 7 days - I am able to do my usual activities | |||
| Indent Indent Indent70420-5 | I am bothered by jaundice or yellow color to my skin | |||
| Indent Indent Indent70421-3 | I have had fevers (episodes of high body temperature) | |||
| Indent Indent Indent70526-9 | I have had itching | |||
| Indent Indent Indent70422-1 | I have had a change in the way food tastes | |||
| Indent Indent Indent70423-9 | I have had chills | |||
| Indent Indent Indent70431-2 | My mouth is dry | |||
| Indent Indent Indent70424-7 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70878-4 | Additional concerns - FACT-H and N [FACIT] | |||
| Indent Indent Indent70427-0 | I am able to eat the foods that I like | |||
| Indent Indent Indent70431-2 | My mouth is dry | |||
| Indent Indent Indent70432-0 | I have trouble breathing | |||
| Indent Indent Indent70433-8 | My voice has its usual quality and strength | |||
| Indent Indent Indent70434-6 | I am able to eat as much food as I want | |||
| Indent Indent Indent70435-3 | I am unhappy with how my face and neck look | |||
| Indent Indent Indent70436-1 | I can swallow naturally and easily | |||
| Indent Indent Indent70437-9 | I smoke cigarettes of other tobacco products | |||
| Indent Indent Indent70438-7 | I drink alcohol (beer, wine, etc.) | |||
| Indent Indent Indent70428-8 | I am able to communicate with others | |||
| Indent Indent Indent70429-6 | I can eat solid food | |||
| Indent Indent Indent70430-4 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70879-2 | Additional concerns - FACT-L [FACIT] | |||
| Indent Indent Indent70305-8 | I have been short of breath | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70441-1 | My thinking is clear | |||
| Indent Indent Indent70442-9 | I have been coughing | |||
| Indent Indent Indent70309-0 | I am bothered by hair loss | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70443-7 | I feel tightness in my chest | |||
| Indent Indent Indent70444-5 | Breathing is easy for me | |||
| Indent Indent Indent70483-3 | Have you ever smoked? | |||
| Indent Indent Indent70445-2 | I regret my smoking | |||
| Indent70516-0 | Functional Assessment of Cancer Therapy for patients with leukemia questionnaire - version 4 (FACT-Leu) [FACIT] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70880-0 | Additional concerns - FACT-Leu [FACIT] | |||
| Indent Indent Indent70344-7 | I am bothered by fevers (episodes of high body temperature) | |||
| Indent Indent Indent70481-7 | I have certain parts of my body where I experience pain | |||
| Indent Indent Indent70527-7 | I am bothered by the chills | |||
| Indent Indent Indent70379-3 | I have night sweats | |||
| Indent Indent Indent70446-0 | I am bothered by lumps or swelling in certain part of my body (e.g. neck, armpits, or groin) | |||
| Indent Indent Indent70484-1 | I bleed easily | |||
| Indent Indent Indent70485-8 | I bruise easily | |||
| Indent Indent Indent70425-4 | I feel weak all over | |||
| Indent Indent Indent70528-5 | I get tired easily | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent61890-0 | During the past 7 days - I am able to do my usual activities | |||
| Indent Indent Indent70485-8 | I bruise easily | |||
| Indent Indent Indent70470-0 | I worry about getting infections | |||
| Indent Indent Indent70448-6 | I feel uncertain about my future health | |||
| Indent Indent Indent70449-4 | I worry that I might get new symptoms of my illness | |||
| Indent Indent Indent70319-9 | I have emotional ups and downs | |||
| Indent Indent Indent70450-2 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70881-8 | Additional concerns - FACT-Lym [FACIT] | |||
| Indent Indent Indent70481-7 | I have certain parts of my body where I experience pain | |||
| Indent Indent Indent70446-0 | I am bothered by lumps or swelling in certain part of my body (e.g. neck, armpits, or groin) | |||
| Indent Indent Indent70344-7 | I am bothered by fevers (episodes of high body temperature) | |||
| Indent Indent Indent70379-3 | I have night sweats | |||
| Indent Indent Indent70451-0 | I am bothered by itching | |||
| Indent Indent Indent70452-8 | I have trouble sleeping at night | |||
| Indent Indent Indent70528-5 | I get tired easily | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70383-5 | I have a loss of appetite | |||
| Indent Indent Indent70530-1 | I have trouble concentrating | |||
| Indent Indent Indent70470-0 | I worry about getting infections | |||
| Indent Indent Indent70449-4 | I worry that I might get new symptoms of my illness | |||
| Indent Indent Indent70450-2 | I feel isolated from others because of my illness or treatment | |||
| Indent Indent Indent70319-9 | I have emotional ups and downs | |||
| Indent Indent Indent70447-8 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70882-6 | Additional concerns - FACT-M [FACIT] | |||
| Indent Indent Indent70453-6 | I have pain at my melanoma site or surgical site | |||
| Indent Indent Indent70462-7 | I have noticed new changes in my skin (lumps, bumps, color) | |||
| Indent Indent Indent70463-5 | I worry about the appearance of surgical scars | |||
| Indent Indent Indent70305-8 | I have been short of breath | |||
| Indent Indent Indent70440-3 | I have to limit my physical activity because of my condition | |||
| Indent Indent Indent70302-5 | I get headaches | |||
| Indent Indent Indent70421-3 | I have had fevers (episodes of high body temperature) | |||
| Indent Indent Indent70345-4 | I have swelling or cramps in my stomach | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70464-3 | I have aches and pains in my bones | |||
| Indent Indent Indent70465-0 | I have noticed blood in my stool | |||
| Indent Indent Indent70439-5 | I have to limit my social activity because of my condition | |||
| Indent Indent Indent70469-2 | I feel overwhelmed by my condition | |||
| Indent Indent Indent70466-8 | I isolate myself from others because of my condition | |||
| Indent Indent Indent70467-6 | I have difficulty thinking clearly - remembering, concentrating | |||
| Indent Indent Indent70426-2 | I feel fatigued | |||
| Indent Indent Indent70454-4 | I have swelling at my melanoma site | |||
| Indent Indent Indent70455-1 | I have swelling as a result of surgery | |||
| Indent Indent Indent70456-9 | I am bothered by the amount of swelling | |||
| Indent Indent Indent70457-7 | Movement of my swollen area is painful | |||
| Indent Indent Indent70458-5 | Swelling keeps me from doing the things I want to do | |||
| Indent Indent Indent70459-3 | Swelling keeps me from wearing clothes or shoes I want to wear | |||
| Indent Indent Indent70460-1 | I feel numbness at my surgical site | |||
| Indent Indent Indent70461-9 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70883-4 | Additional concerns - FACT-MM [FACIT] | |||
| Indent Indent Indent70481-7 | I have certain parts of my body where I experience pain | |||
| Indent Indent Indent70425-4 | I feel weak all over | |||
| Indent Indent Indent70528-5 | I get tired easily | |||
| Indent Indent Indent70530-1 | I have trouble concentrating | |||
| Indent Indent Indent70470-0 | I worry about getting infections | |||
| Indent Indent Indent70531-9 | I feel discouraged about my illness | |||
| Indent Indent Indent70447-8 | Because of my illness, I have difficulty planning for the future | |||
| Indent Indent Indent70449-4 | I worry that I might get new symptoms of my illness | |||
| Indent Indent Indent70319-9 | I have emotional ups and downs | |||
| Indent Indent Indent70322-3 | I have bone pain | |||
| Indent Indent Indent70303-3 | I need help doing my usual activities | |||
| Indent Indent Indent70468-4 | I have trouble walking because of the pain | |||
| Indent Indent Indent70426-2 | I feel fatigued | |||
| Indent Indent Indent70377-7 | I have gained weight | |||
| Indent70520-2 | Functional Assessment of Cancer Therapy for patients with nasopharyngeal cancer questionnaire - version 4 (FACT-NP) [FACIT] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70884-2 | Additional concerns - FACT-NP [FACIT] | |||
| Indent Indent Indent70427-0 | I am able to eat the foods that I like | |||
| Indent Indent Indent70431-2 | My mouth is dry | |||
| Indent Indent Indent70433-8 | My voice has its usual quality and strength | |||
| Indent Indent Indent70434-6 | I am able to eat as much food as I want | |||
| Indent Indent Indent70436-1 | I can swallow naturally and easily | |||
| Indent Indent Indent70435-3 | I am unhappy with how my face and neck look | |||
| Indent Indent Indent70428-8 | I am able to communicate with others | |||
| Indent Indent Indent70429-6 | I can eat solid food | |||
| Indent Indent Indent70430-4 | I have pain in my mouth, throat or neck | |||
| Indent Indent Indent70471-8 | I have difficulty moving my neck and shoulders because of stiffness | |||
| Indent Indent Indent70472-6 | I am bothered by ringing in my ears | |||
| Indent Indent Indent70477-5 | I have trouble hearing | |||
| Indent Indent Indent70473-4 | I am bothered by worsening eyesight | |||
| Indent Indent Indent70474-2 | I have trouble smelling | |||
| Indent Indent Indent70475-9 | I can enjoy the taste of food | |||
| Indent Indent Indent70476-7 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70885-9 | Additional concerns - FACT-O [FACIT] | |||
| Indent Indent Indent70478-3 | I have swelling in my stomach area | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70347-0 | I have control of my bowels | |||
| Indent Indent Indent70479-1 | I have been vomiting | |||
| Indent Indent Indent70309-0 | I am bothered by hair loss | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70351-2 | I like the appearance of my body | |||
| Indent Indent Indent70320-7 | I am able to get around by myself | |||
| Indent Indent Indent70313-2 | I am able to feel like a woman | |||
| Indent Indent Indent70480-9 | I have cramps in my stomach area | |||
| Indent Indent Indent70317-3 | I am interested in sex | |||
| Indent Indent Indent70321-5 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent71434-5 | Additional concerns - FACT-P [FACIT] | |||
| Indent Indent Indent70346-2 | I am losing weight | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent71435-2 | I have aches and pains that bother me | |||
| Indent Indent Indent70481-7 | I have certain parts of my body where I experience pain | |||
| Indent Indent Indent70558-2 | My pain keeps me from doing things I want to do | |||
| Indent Indent Indent71436-0 | I am satisfied with my present level of comfort | |||
| Indent Indent Indent71437-8 | I am able to feel like a man | |||
| Indent Indent Indent70567-3 | I have trouble moving my bowels | |||
| Indent Indent Indent70566-5 | I have difficulty urinating | |||
| Indent Indent Indent70315-7 | I urinate more frequently than usual | |||
| Indent Indent Indent70559-0 | My problems with urinating limit my activities | |||
| Indent Indent Indent71438-6 | 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] | |||
| Indent Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent Indent70406-4 | I have nausea | |||
| Indent Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent Indent70408-0 | I have pain | |||
| Indent Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent Indent70410-6 | I feel ill | |||
| Indent Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent Indent70914-7 | 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. | |||
| Indent Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent Indent70392-6 | I feel sad | |||
| Indent Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent Indent70395-9 | I am nervous | |||
| Indent Indent Indent70396-7 | I worry about dying | |||
| Indent Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent Indent70886-7 | Additional concerns - FACT-V [FACIT] | |||
| Indent Indent Indent70486-6 | I am bothered by discharge or bleeding from my vulva | |||
| Indent Indent Indent70487-4 | I am bothered by odor coming from my vulva | |||
| Indent Indent Indent70362-9 | I am afraid to have sex | |||
| Indent Indent Indent70488-2 | I am bothered by swelling (fluid in my legs) | |||
| Indent Indent Indent70363-7 | My vagina feels too narrow or short | |||
| Indent Indent Indent70489-0 | I am bothered by discomfort in my groin or legs | |||
| Indent Indent Indent70364-5 | I am afraid the treatment will harm my body | |||
| Indent Indent Indent70317-3 | I am interested in sex | |||
| Indent Indent Indent70351-2 | I like the appearance of my body | |||
| Indent Indent Indent70365-2 | I am bothered by constipation | |||
| Indent Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent Indent70314-0 | I have trouble controlling my urine | |||
| Indent Indent Indent70490-8 | I am bothered by itching/burning in my vulva area | |||
| Indent Indent Indent70366-0 | I have discomfort when I urinate | |||
| Indent Indent Indent70491-6 | I am bothered by pain or numbness in my vulva area | |||
| Indent Indent Indent70492-4 | I have trouble bending | |||
| Indent Indent Indent70493-2 | I have discomfort when I'm sitting | |||
| Indent Indent Indent70494-0 | I am bothered by wearing compression stockings | |||
| Indent Indent Indent70427-0 | 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
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- 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
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright