ACESOAI

Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 12 items - version 4 (FACT-GOG-NTX 12) [FACIT]

Label Value Unit
Physical well being:-:Pt:^Patient:-:FACIT ©
Social - family well being:-:Pt:^Patient:-:FACIT ©
Emotional well being:-:Pt:^Patient:-:FACIT ©
Functional well being:-:Pt:^Patient:-:FACIT ©
Additional concerns - FACT-GOG-NTX-12:-:Pt:^Patient:-:FACIT ©
I have numbness or tingling in my hands in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am able to work - include work at home - in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have a lack of energy in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel close to my friends in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel sad in the past 7D:Find:7D:^Patient:Ord:FACIT ©
My work - include work at home - is fulfilling in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have nausea in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I get emotional support from my family in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am satisfied with how I am coping with my illness in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have numbness or tingling in my feet in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel discomfort in my hands in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am able to enjoy life in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am losing hope in the fight against my illness in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I get support from my friends in the past 7D:Find:7D:^Patient:Ord:FACIT ©
Because of my physical condition, I have trouble meeting the needs of my family in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel discomfort in my feet in the past 7D:Find:7D:^Patient:Ord:FACIT ©
My family has accepted my illness in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel nervous in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have pain in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have accepted my illness in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am satisfied with family communication about my illness in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I worry about dying in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have joint pain or muscle cramps in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am bothered by side effects of treatment in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am sleeping well in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I worry that my condition will get worse in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel weak all over in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am enjoying the things I usually do for fun in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel close to my partner, or the person who is my main support, in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I feel ill in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am content with the quality of my life right now in the past 7D:Find:7D:^Patient:Ord:FACIT ©
Would you like to answer the question referring to your sex life:Find:Pt:^Patient:Ord:FACIT ©
I am forced to spend time in bed in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have trouble hearing in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I am satisfied with my sex life in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I get a ringing or buzzing in my ears in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have trouble buttoning buttons in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have trouble feeling the shape of small objects when they are in my hand in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have trouble walking in the past 7D:Find:7D:^Patient:Ord:FACIT ©
I have pain in my hands or feet when I am exposed to cold temperatures in the past 7D:Find:7D:^Patient:Ord:FACIT ©