AnyQuest for Windows Questionnaire Definition File Version 2.32tTT X&dTT /bKT"Arial West"Arial West"Arial West"Arial WestArial"Arial West"Arial West"Arial West"Arial WestArialGT,.EORTC QLQ-C30 Version 2.0C30V2TIT TdTT X T)uX* Dear patient,Neue Erklaerung Teil 2tT>4 T8 TU dwe are interested in some things about you and your health. Please answer all of the questions yourself by typing the field that best applies to you. There are no "right" or "wrong" answers.1,00 T>* T TU dCThe information that you provide will remain strictly confidential.2,00lTsTDTFEHTLT XdT)uX*eDo you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?Neue Erklaerung Teil 2hT+!n TTZ dNo1,00lT+npTdTI dYes2,00T6TTFETT XT)uX*+Do you have any trouble taking a long walk?Neue Erklaerung Teil 2<T+!npT@TZ dNo1,00T+nTTI dYes2,00PT TTFETT X0T)uX*BDo you have any trouble taking a short walk outside of the house?Neue Erklaerung Teil 24T+!n@T8TZ dNo1,00DT+nTHTI dYes2,00TXT\TFE`TT XdT )uX*=Do you have to stay in a bed or a chair for most of the day?Neue Erklaerung Teil 2hT+!nlT@TZ dNo1,00T+nTTI dYes2,00`TT TFETT X,T )uX*MDo you need help with eating, drinking, washing yourself or using the toilet?Neue Erklaerung Teil 20T+!n<T4TZ dNo1,00@T+nLTDTI dYes2,00TPTTLLTTT XXT )uX*EWere you limited in doing either your work or other daily activities?During the past week:Neue Erklaerung Teil 2T+2n\T`Tj d Not at all1,00T+!nTTZ dA little2,00T+nT TI d Quite a bit3,00XT+nlTdT9 d Very much4,00TTTLLTT XT)uX*KWere you limited in pursuing your hobbies or other leisure time activities?During the past week:Neue Erklaerung Teil 2`T+2ntTlTj d Not at all1,00xT+!nTTZ dA little2,00hT+nTtTI d Quite a bit3,00T+nTT9 d Very much4,00HTdThTLLTT XT)uX*Were you short of breath?During the past week:Neue Erklaerung Teil 2T+2nTTj d Not at all1,008T+!nLTDTZ dA little2,00T+nTTI d Quite a bit3,004OT+n@OTDOT9 d Very much4,00OTOTOTLLOTOT XOT)uX*Have you had pain?During the past week:Neue Erklaerung Teil 2OT+2n$OTOTj d Not at all1,00hOT+!n|OTtOTZ dA little2,00OT+nOTOTI d Quite a bit3,00OT+n,OT$OT9 d Very much4,00OT0OTOTLLOTOT XOT )uX*Did you need to rest?During the past week:Neue Erklaerung Teil 2OT+2nOT\OTj d Not at all1,00OT+!nOTOTZ dA little2,00OT+nOTOTI d Quite a bit3,00TOT+nhOT`OT9 d Very much4,00(OTOTOTLLOTOT XOT!$)uX*Have you had trouble sleeping?During the past week:Neue Erklaerung Teil 2OT+2nOTOTj d Not at all1,00OT+!nOTOTZ dA little2,00,OT+n@OT8OTI d Quite a bit3,00OT+nOTOT9 d Very much4,00OT$OT(OTLL@OTDOT X\OT%()uX*Have you felt weak?During the past week:Neue Erklaerung Teil 2OT+2nOTOTj d Not at all1,00OT+!n OTOTZ dA little2,00XOT+nOTdOTI d Quite a bit3,00OT+n OTOT9 d Very much4,00x OT4 OT8 OTLLP OTT OT Xl OT),)uX*Have you lacked appetite?During the past week:Neue Erklaerung Teil 2 OT+2n OTp OTj d Not at all1,00$ OT+!n8 OT0 OTZ dA little2,00| OT+n OT OTI d Quite a bit3,00 OT+n OT OT9 d Very much4,00` OT OT| OTLL OT OT X OT-0)uX*Have you felt nauseated?During the past week:Neue Erklaerung Teil 2 OT+2n OT OTj d Not at all1,00P OT+!nd OT\ OTZ dA little2,00 OT+n OT OTI d Quite a bit3,00 OT+n@OT OT9 d Very much4,00 OT OT OTLL OT OT X OT14)uX*Have you vomited?During the past week:Neue Erklaerung Teil 2OT+2n0OT(OTj d Not at all1,00tOT+!nOTOTZ dA little2,00OT+nOTOTI d Quite a bit3,00$OT+n8OT0OT9 d Very much4,00OT<OTOTLLOTOT XOT58)uX*Have you been constipated?During the past week:Neue Erklaerung Teil 2OT+2nOTXOTj d Not at all1,00OT+!nOTOTZ dA little2,00OT+n OTOTI d Quite a bit3,00POT+ndOT\OT9 d Very much4,00OTOTOTLL(OTOT X,OT9<)uX*Have you had diarrhoea?During the past week:Neue Erklaerung Teil 2pOT+2nOT|OTj d Not at all1,00OT+!nOTOTZ dA little2,00 OT+n4OT,OTI d Quite a bit3,00xOT+nOTOT9 d Very much4,00OTOTOTLL0OT4OT XLOT=@)uX*Were you tired?During the past week:Neue Erklaerung Teil 2OT+2nOTOTj d Not at all1,00OT+!nOTOTZ dA little2,00LOT+nOTOTI d Quite a bit3,00OT+nOTOT9 d Very much4,00dOT$OT(OTLL@OTDOT X\OTAD)uX*.Did pain interfere with your daily activities?During the past week:Neue Erklaerung Teil 2OT+2n`OTOTj d Not at all1,00(OT+!n<OT4OTZ dA little2,00OT+nOTOTI d Quite a bit3,00OT+nOTOT9 d Very much4,00OTsdOThOTLLOTOT XOTEH)uX*dHave you had difficulty in concentrating on things, like reading a newspaper or watching television?During the past week:Neue Erklaerung Teil 2OT+2nOTOTj d Not at all1,00OT+!nOTOTZ dA little2,00OT+n8OTOTI d Quite a bit3,00POT+ndOT\OT9 d Very much4,00OTOTOTLL OTOT X(OTIL)uX*Did you feel tense?During the past week:Neue Erklaerung Teil 2lOT+2nOTxOTj d Not at all1,00OT+!nOTOTZ dA little2,00OT+n0OT(OTI d Quite a bit3,00|OT+n4OTOT9 d Very much4,00OTOTOTLLHOT0OT XLOTMP)uX*Did you worry?During the past week:Neue Erklaerung Teil 2OT+2nOTOTj d Not at all1,004GT+!n@GTDGTZ dA little2,00LGT+n`GTXGTI d Quite a bit3,00GT+nGTGT9 d Very much4,00pGT0GT4GTLLLGTPGT XhGTQT)uX*Did you feel irritable?During the past week:Neue Erklaerung Teil 2GT+2nlGTGTj d Not at all1,00GT+!n0GT(GTZ dA little2,00GT+nGTGTI d Quite a bit3,00GT+nGTGT9 d Very much4,00lGTGTGTLLGTGT XGTUX)uX*Did you feel depressed?During the past week:Neue Erklaerung Teil 2GT+2nGT GTj d Not at all1,00XGT+!nlGTdGTZ dA little2,00GT+nGTGTI d Quite a bit3,00 GT+nHGTGT9 d Very much4,00GT*GTGTLLGTGT XGTY\)uX*+Have you had difficulty remembering things?During the past week:Neue Erklaerung Teil 2GT+2nPGTHGTj d Not at all1,00GT+!nGTGTZ dA little2,00GT+nGTGTI d Quite a bit3,00LGT+nDGTXGT9 d Very much4,000GTGTGTLLGTGT X GT]`)uX*RHas your physical condition or medical treatment interfered with your family life?During the past week:Neue Erklaerung Teil 2GT+2n$GTGTj d Not at all1,00 GT+!n8 GT(GTZ dA little2,00P GT+nd GT\ GTI d Quite a bit3,00 GT+n GT GT9 d Very much4,00 GTs4 GT8 GTLLP GTT GT Xl GTad)uX*XHas your physical condition or medical treatment interfered with your social activities?During the past week:Neue Erklaerung Teil 2 GT+2n GT GTj d Not at all1,00$ GT+!n GT0 GTZ dA little2,00 GT+n GT GTI d Quite a bit3,00 GT+n( GT GT9 d Very much4,00 GT GT GTLL GT GT X, GTeh)uX*SHas your physical condition or medical treatment caused you financial difficulties?During the past week:Neue Erklaerung Teil 2p GT+2n GT| GTj d Not at all1,00 GT+!n GT GTZ dA little2,00(GT+n GT4GTI d Quite a bit3,00|GT+nGTGT9 d Very much4,00GTDGTHGTLL`GTdGT X|GTio)uX*<How would you rate your overall health during the past week?During the past week:Neue Erklaerung Teil 2GT+nGTGT,| d Very poor1,00GT@+nGT GT d2,00hGT+ nlGTpGTD d3,00GTZ+nGTGT! d4,00<GT+&n@GT GT^ d5,00\GTs+n`GTTGT; d6,00GT+?nGTGTw d Excellent7,00GT0GT4GTLLLGTPGT XhGTpv)uX*EHow would you rate your overall quality of life during the past week?During the past week:Neue Erklaerung Teil 2lGT+nGTxGT,| d Very poor1,00GT@+nGTGT d2,00GT+ n(GTGTD d3,004GTZ+n8GT,GT! d4,00tGT+&nxGTDGT^ d5,00GTs+nGTGT; d6,00GT+?nGTGTw d Excellent7,00GT2------Physical functionPhysical functionPhysical function@nM~@ Undefined$100 c2 c3 c4 c5 c6 5 avg 1 - 100 * -XGT2------New role functionNew role functionNew role function@nM~@ Undefined100 v7 v8 2 avg 1 - 100 * 3 / -GT2------Emotional functionEmotional functionEmotional function@nM~@ Undefined)100 v22 v23 v24 v25 4 avg 1 - 100 * 3 / -GT2------Cognitive functionCognitive functionCognitive function@nM~@ Undefined!100 v21 v26 2 avg 1 - 100 * 3 / -8GT2------Social functionSocial functionSocial function@nM~@ Undefined!100 v27 v28 2 avg 1 - 100 * 3 / -GT2------!New global health/Quality of life!New global health/Quality of life!New global health/Quality of life@nM~@ Undefinedv30 v31 2 avg 1 - 100 * 6 /GT2------FatigueFatigueFatigue@nM~@ Undefinedv11 v13 v19 3 avg 1 - 100 * 3 /GT2------Nausea and vomitingNausea and vomitingNausea and vomiting@nM~@ Undefinedv15 v16 2 avg 1 - 100 * 3 /PGT2------PainPainPain@nM~@ Undefinedv10 v20 2 avg 1 - 100 * 3 /\GT2------DyspneaDyspneaDyspnea@nM~@ Undefinedv9 1 - 100 * 3 /GT2------Sleep disturbanceSleep disturbanceSleep disturbance@nM~@ Undefinedv12 1 - 100 * 3 /GT2------ Appetite loss Appetite loss Appetite loss@nM~@ Undefinedv14 1 - 100 * 3 /GT2------ Constipation Constipation Constipation@nM~@ Undefinedv17 1 - 100 * 3 /GT2------DiarrheaDiarrheaDiarrhea@nM~@ Undefinedv18 1 - 100 * 3 /GT2------Financial ImpactFinancial ImpactFinancial Impact@uX*v29 1 - 100 * 3 /EORTC QLQ-C30 Quality of Life Core Questionnaire 1994 by the EORTC Study Group on Quality of Life Questionnaire definition file for AnyQuest for Windows 1996 by Jrg M. Sigle