AnyQuest for Windows Questionnaire Definition File Version 2.32O X&O .bK0 "Arial West"Arial West"Arial West"Arialc Trk"Arialc Trk"Arial West"Arial West"Arial West"Arial WestArial,.EORTC QLQ-BR23BR23IO>}_`!)uX* Dear patient,O>OV dpatients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems during the past week.1,00>*0OV d2,00OOLL}ad!)uX*Did you have a dry mouth?During the past week:O+1Oj d Not at all1,00`O+!nlOY dA little2,00O+nOI d Quite a bit3,000O+n<O9 d Very much4,00 /'</'LL}eh!)uX*/Did food and drink taste different than usual?During the past week:/'+1/'j d Not at all1,00 / +!n,/ Y dA little2,00/ +n/ I d Quite a bit3,00'7+n('79 d Very much4,00 8 8LL}il!)uX*-Were your eyes painful, irritated or watery?During the past week:79+179j d Not at all1,00(+!n4Y dA little2,00+nI d Quite a bit3,00O+nO9 d Very much4,00LL}mp!)uX*Have you lost any hair?During the past week:,+18j d Not at all1,00+!nY dA little2,00+nI d Quite a bit3,00d+np9 d Very much4,00DLL}qt!)uX*$Were you upset by the loss of hair?During the past week:+1j d Not at all1,00+!nY dA little2,00x+nI d Quite a bit3,00+n9 d Very much4,00v5 1 =X|LL}ux!)uX*Did you feel ill or unwell?During the past week:+1(j d Not at all1,00+!nY dA little2,00 +n I d Quite a bit3,00\ +nh 9 d Very much4,00 4 LL}y|!)uX*Did you have hot flushes?During the past week: +1 j d Not at all1,00 +!n Y dA little2,00d +np I d Quite a bit3,00 +n 9 d Very much4,00LL}}!)uX*Did you have headaches?During the past week:+1 j d Not at all1,00h+!ntY dA little2,00+nI d Quite a bit3,008+nD9 d Very much4,00DLL}!)uX*SHave you felt physically less attractive as a result of your disease or treatment?During the past week:+1j d Not at all1,00+!nY dA little2,00x+nI d Quite a bit3,00+n9 d Very much4,00xLL}!)uX*NHave you been feeling less feminine as a result of your disease or treatment?During the past week:+1j d Not at all1,00+!nY dA little2,00 +n,I d Quite a bit3,00+n9 d Very much4,00 xLL}!)uX*5Did you find it difficult to look at yourself naked?During the past week:+1j d Not at all1,00D+!nPY dA little2,00+nI d Quite a bit3,00+n 9 d Very much4,00LL}!)uX*+Have you been dissatisfied with your body?During the past week:`+1lj d Not at all1,00+!nYdA little2,000+n<I d Quite a bit3,00+n9 d Very much4,00d0LL}!)uX*2Were you worried about your health in the future?During the past week:+1j d Not at all1,00T+!n`YdA little2,00+nI d Quite a bit3,00$+n09 d Very much4,00`L}!)uX*+To what extent were you interested in sex?During the past four weeks:p+1|j d Not at all1,00+!nYdA little2,00@+nLI d Quite a bit3,00+n9 d Very much4,00`L}!)uX*GTo what extent were you sexually active? (with or without intercourse)During the past four weeks:d+1pj d Not at all1,00+!nYdA little2,004+n@I d Quite a bit3,00+n9 d Very much4,004LL}!)uX**To what extent was sex enjoyable for you?During the past four weeks:+1j d Not at all1,00T+!n`YdA little2,00+nI d Quite a bit3,00$+n09 d Very much4,00v16 1 =d LL}!)uX*/Did you have any pain in your arm or shoulder?During the past week:|+1j d Not at all1,00+!nYdA little2,00 +n I d Quite a bit3,00 +n 9 d Very much4,00 P LL}!)uX*%Did you have a swollen arm or hand?During the past week: +1 j d Not at all1,00d +!np YdA little2,00 +n I d Quite a bit3,004+n@9 d Very much4,00LL}!)uX*;Was it difficult to raise your arm or to move it sideways?During the past week:+1j d Not at all1,00+!nYdA little2,00\+nhI d Quite a bit3,00+n9 d Very much4,00\LL}!)uX*;Have you had any pain in the area of your affected breast?During the past week:+1(j d Not at all1,00+!nYdA little2,00+nI d Quite a bit3,00T+n`9 d Very much4,000LL}!)uX*.Was the area of your affected breast swollen?During the past week:+1j d Not at all1,00+!nYdA little2,00p+n|I d Quite a bit3,00+n9 d Very much4,00pLL}!)uX*4Was the area of your affected breast oversensitive?During the past week:,+18j d Not at all1,00+!nYdA little2,00+nI d Quite a bit3,00d+np9 d Very much4,00<LL}!)uX*aHave you had skin problems on or in the area of your affected breast (e.g., itchy, dry, flaky)?During the past week:+1j d Not at all1,00P+!n\YdA little2,00+nI d Quite a bit3,00 +n,9 d Very much4,00H2------ Body image Body image Body image@nM~@ Undefined)100 v10 v11 v12 v13 4 avg 1 - 100 * 3 / -2------Sexual functioningSexual functioningSexual functioning@nM~@ Undefinedv15 v16 2 avg 1 - 100 * 3 /2------Sexual enjoymentSexual enjoymentSexual enjoyment@nM~@ Undefinedv17 1 - 100 * 3 /2------ Arm symptoms Arm symptoms Arm symptoms@nM~@ Undefinedv18 v19 v20 3 avg 1 - 100 * 3 /@2------Breast symptomsBreast symptomsBreast symptoms@nM~@ Undefined#v21 v22 v23 v24 4 avg 1 - 100 * 3 /2------Systemic-therapy side effectsSystemic-therapy side effectsSystemic-therapy side effects@nM~@ Undefined(v2 v3 v4 v5 v7 v8 v9 7 avg 1 - 100 * 3 /2------Upset by hair lossUpset by hair lossUpset by hair loss@nM~@ Undefinedv6 1 - 100 * 3 /2------Future perspectiveFuture perspectiveFuture perspective@nM~@ Undefinedv14 1 - 100 * 3 /EORTC QLQ-BR23 Quality of Life Breast Cancer Module 1994 by the EORTC Study Group on Quality of Life Questionnaire definition file for AnyQuest for Windows 03.10.1997 by Jrg M. Sigle