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In general, would you say your quality of life is [PROMIS]

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PhenX - respiratory - quality of life protocol 091301

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PhenX - current quality of life protocol 180301

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Over the past 3 months, I have coughed [PhenX]

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Over the past 3 months, I have brought up phlegm - sputum [PhenX]

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Over the past 3 months, I have had shortness of breath [PhenX]

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Over the past 3 months, I have had attacks of wheezing [PhenX]

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During the past 3 months, how many severe or very unpleasant attacks of chest trouble have you had [PhenX]

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How long did the worst attack of chest trouble last [PhenX]

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Over the past 3 months, in an average week, how many good days, with little chest trouble, have you had [PhenX]

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If you have a wheeze, is it worse in the morning [PhenX]

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How would you describe your chest condition [PhenX]

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If you have ever had paid employment [PhenX]

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I am breathless when I bend over [PhenX]

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My cough or breathing disturbs my sleep [PhenX]

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My cough or breathing is embarrassing in public [PhenX]

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My chest trouble is a nuisance to my family, friends or neighbors [PhenX]

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I get afraid or panic when I cannot get my breath [PhenX]

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I feel that I am not in control of my chest problem [PhenX]

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I do not expect my chest to get any better [PhenX]

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I have become frail or an invalid because of my chest [PhenX]

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Everything seems too much of an effort [PhenX]

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My medication does not help me very much [PhenX]

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I get embarrassed using my medication in public [PhenX]

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I have unpleasant side effects from my medication [PhenX]

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My medication interferes with my life a lot [PhenX]

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I take a long time to get washed or dressed [PhenX]

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I cannot take a bath or shower, or I take a long time [PhenX]

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I walk slower than other people, or I stop for rests [PhenX]

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Jobs such as housework take a long time, or I have to stop for rests [PhenX]

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If I walk up one flight of stairs, I have to go slowly or stop [PhenX]

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If I hurry or walk fast, I have to stop or slow down [PhenX]

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My breathing makes it difficult to do things such as walk up hills, carrying things up stairs, light gardening such as weeding, dance, play bowls or play golf [PhenX]

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My breathing makes it difficult to do things such as carry heavy loads, dig the garden or shovel snow, jog or walk at 5 miles per H, play tennis or swim [PhenX]

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My breathing makes it difficult to do things such as very heavy manual work, run, cycle, swim fast or play competitive sport [PhenX]

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I cannot go out for entertainment or recreation [PhenX]

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I cannot go out of the house to do the shopping [PhenX]

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I cannot move far from my bed or chair [PhenX]

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Write in any other important activities that your chest trouble may stop you doing [PhenX]

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Which do you think best describes how your chest affects you [PhenX]

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Activity that usually makes you feel breathless these days [PhenX]

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This activity usually makes you feel breathless these days [PhenX]

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Would you say that in general your health is [HRQOL]

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Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good [HRQOL]

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Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good [HRQOL]

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During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation [HRQOL]

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Level of fatigue on average over the past month [Reported]

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Severity of pain on average over the past 1 month [Reported]

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Social interaction with other people - family, friends, or others - over the past month [Reported]

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Overall emotional well being over the past month [Reported]

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Overall physical well being over the past month [Reported]

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Overall quality of life over the past month [Reported]

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Patient Reported Outcome Quality of Life tool

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In general, would you say your child's quality of life is [PROMIS.PARENTPROXY]

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Enjoyment of life limited by heart failure over the past 2 weeks [KCCQ]

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How would you feel if you had to spend the rest of your life with your heart failure the way it is right now [KCCQ]

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Felt discouraged or down in the dumps because of heart failure over the past 2 weeks [KCCQ]

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How much has your chest pain, chest tightness or angina limited your enjoyment of life over the past 4 weeks [SAQ]

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If you had to spend the rest of your life with your chest pain, chest tightness or angina the way it is right now, how would you feel about this [SAQ]

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In general, how much difficulty do you have with your hip [HOOS]

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How much are you troubled with lack of confidence in your hip [HOOS]

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Have you modified your life style to avoid activities potentially damaging to your hip [HOOS]

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How often are you aware of your hip problem [HOOS]

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In general, how much difficulty do you have with your knee? [KOOS]

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How much are you troubled with lack of confidence in your knee? [KOOS]

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Have you modified your life style to avoid activities potentially damaging to your knee? [KOOS]

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How often are you aware of your knee problem? [KOOS]