ACESOAI

General Health Survey panels

^Caregiver

^Parent

  • 87689-6 Parent Patient Activation Measure - 10 [PAM] Parent form
  • 87675-5 Parent Patient Activation Measure - 13 [PAM] Parent form

^Patient

  • 71274-5 Emotional well being - FAACT-peds - parent_child [FACIT] form
  • 71275-2 Social well being - FAACT-peds - parent_child [FACIT] form
  • 71264-6 Social - family well-being - FAACT-parent_adoles [FACIT] form
  • 71251-3 Additional concerns - FAACT-parent [FACIT] form
  • 71235-6 Emotional well being - FAACT-peds - parent_adoles [FACIT] form
  • 71234-9 Physical well being - FAACT-peds - parent [FACIT] form
  • 71229-9 Additional concerns - FACT-Br-parent [FACIT] form
  • 71228-1 Additional concerns - FACT-Br-peds [FACIT] form
  • 71226-5 Additional concerns - FAACT-child_adoles [FACIT] form
  • 71218-2 Social - family well-being - FAACT-peds [FACIT] form
  • 71217-4 Emotional well-being and illness experience FACIT form
  • 71216-6 Physical well-being - FACIT-peds [FACIT] form
  • 71151-5 Pediatric - Functional Assessment of Chronic Illness Therapy - Fatigue Questionnaire (Peds-FACIT-Fatigue) form
  • 71150-7 Pediatric - Patients with brain cancer - Parent_child Questionnaire - version 1 (Peds-FACT-Br - parent_child) [FACIT] form
  • 71322-2 Social and family well-being - FACT-Br -peds-parent_adoles [FACIT] form
  • 71948-4 Hip and knee outcomes questionnaire [HKOI] form
  • 71941-9 Kansas City Cardiomyopathy Questionnaire [KCCQ] form
  • 71934-4 Veterans Rand health survey - 12 item (VR-12) form
  • 71933-6 Veterans Rand health survey - 36 item (VR-36) form
  • 71439-4 Functional Assessment of Chronic Illness Therapy Spiritual Well-being Questionnaire - version 4 (FACIT-Sp) form
  • 71434-5 Additional concerns - FACT-P [FACIT] form
  • 71433-7 Functional Assessment of Cancer Therapy for patients with prostate cancer questionnaire - version 4 (FACT-P) [FACIT] form
  • 71343-8 Emotional well-being and illness experience - FAACT-peds-child [FACIT] form
  • 71149-9 Pediatric - Patients with brain cancer - Parent_adolescent Questionnaire - version 1 (Peds-FACT-Br - parent_adoles) [FACIT] form
  • 71321-4 Social and family well-being - FACT-Br -peds-parent_child [FACIT] form
  • 71320-6 Emotional well-being - FACT-Br -peds-parent_child [FACIT] form
  • 71319-8 Emotional well being - FACT-Br -peds-parent_adoles [FACIT] form
  • 71318-0 Physical well-being - FACT-Br -peds-parent [FACIT] form
  • 71317-2 Social - family well-being - FACT-Br-peds [FACIT] form
  • 71316-4 Emotional well-being and illness experience - FACT-Br -peds-child [FACIT] form
  • 71315-6 Emotional well-being and illness experience - FACT-Br -peds-adoles [FACIT] form
  • 71067-3 Explanations [FACIT] form
  • 71118-4 Thinking and fatigue [FACIT] form
  • 71103-6 Overall [FACIT] form
  • 71098-8 Trust [FACIT] form
  • 71094-7 Nurses [FACIT] form
  • 71088-9 Decision-making [FACIT] form
  • 71084-8 Technical quality [FACIT] form
  • 71076-4 Comprehensive care [FACIT] form
  • 71072-3 Interpersonal [FACIT] form
  • 71121-8 Additional concerns - FAMS [FACIT] form
  • 71065-7 Functional Assessment of Chronic Illness therapy - Treatment satisfaction - patient satisfaction questionnaire - version 1 (FACIT-TS-PS) form
  • 71055-8 Functional Assessment of Chronic Illness Therapy - Treatment satisfaction - General Questionnaire - version 1 (FACIT-TS-G) form
  • 71047-5 Functional Assessment of Chronic Illness Therapy - Satisfaction with Pharmacist Scale - version 4 (FACIT - SWiP) form
  • 71046-7 Functional Assessment of Chronic Illness Therapy - Spiritual well-being - non-illness questionnaire - version 4 (FACIT-Sp - non-illness) form
  • 71035-0 Functional Assessment of Chronic Illness Therapy - Spiritual well-being, expanded version questionnaire - version 4 (FACIT-Sp-Ex) form
  • 71023-6 Functional Assessment of Chronic Illness Therapy - Spiritual well-being Questionnaire - 12 items - version 4 (FACIT-Sp-12) form
  • 71008-7 Additional concerns - FACIT-Pal [FACIT] form
  • 71133-3 Functional Assessment of HIV Infection Questionnaire - version 4 (FAHI) [FACIT] form
  • 71148-1 Pediatric - patients with brain cancer - Child Questionnaire - version 2 (Peds-FACT-Br - child) [FACIT] form
  • 71147-3 Pediatric - patients with brain cancer - Adolescent Questionnaire - version 2 (Peds-FACT-Br - adoles) [FACIT] form
  • 71146-5 Pediatric - Functional Assessment of Anorexia Cachexia Questionnaire - 10 items - version 2 (Peds-FAACT- 10 - v2) [FACIT] form
  • 71145-7 Pediatric - Functional Assessment of Anorexia Cachexia - Parent_child Questionnaire - version 1 (Peds-FAACT - parent_child) [FACIT] form
  • 71144-0 Pediatric - Functional Assessment of Anorexia Cachexia - Parent_adolescent Questionniare - version 1 (Peds-FAACT - adoles) [FACIT] form
  • 71143-2 Pediatric - Functional Assessment of Anorexia Cachexia - Child Questionnaire - version 1 (Peds-FAACT - child) [FACIT] form
  • 71142-4 Pediatric - Functional Assessment of Anorexia Cachexia - Adolescent Questionnaire - version 1 (Peds-FAACT - adoles) [FACIT] form
  • 71141-6 Social - family well-being - FAMS [FACIT] form
  • 72092-0 Hip Dysfunction and Osteoarthritis Outcome Score [HOOS] form
  • 71132-5 Additional concerns - FACIT-Sp-NI [FACIT] form
  • 71131-7 Additional concerns - FACIT-Sp [FACIT] form
  • 71130-9 Cognitive functioning [FACIT] form
  • 71129-1 Social well-being [FACIT] form
  • 71128-3 Functional and global well-being [FACIT] form
  • 71127-5 Emotional well-being - living with HIV [FACIT] form
  • 71126-7 Physical well-being - FAHI [FACIT] form
  • 95975-9 Skindex-16 [Skindex-16] form
  • 89196-0 Patient reported outcome measure panel form
  • 89197-8 Performance-based measure panel form
  • 89440-2 Rose Dyspnea Scale form
  • 89574-8 Exercise Vital Sign (EVS) form
  • 89862-7 Patient-Oriented Eczema Measure [POEM] form
  • 89905-4 Chronic Respiratory Questionnaire Self-Administered Standardized Format [CRQ-SAS] form
  • 89906-2 Chronic Respiratory Questionnaire Self-Administered Individualized Format [CRQ-SAI] form
  • 90018-3 Psoriasis care satisfaction questionnaire [PsoSat] form
  • 90028-2 Routine Assessment of Patient Index Data 3 [RAPID3] form
  • 90982-0 Pressure Injury Scale for Healing Tool 3.0 [PUSH] form
  • 91148-7 Pain intensity, Enjoyment of life, General activity scale [PEG] form
  • 91349-1 STarT Back Screening Tool panel form
  • 93088-3 Quality of Working Life Questionnaire for Cancer Survivors [Quality of Working Life Questionnaire for Cancer Survivors] form
  • 94066-8 Person-Centered Primary Care Measure [PCPCM] form
  • 95872-8 Brief cognitive assessment tool short form [BCAT] form
  • 89133-3 Everyday Cognition - Participant Self Report Form [ECog] form
  • 95996-5 Skindex-29 [Skindex-29] form
  • 96034-4 Skindex mini [Skindex Mini] form
  • 96700-0 MyMemCheck assessment panel [MyMemCheck] form
  • 96777-8 Accountable health communities (AHC) health-related social needs screening (HRSN) tool form
  • 97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions form
  • 97327-1 Core Outcome Measures Index for the Neck [COMI] form
  • 97874-2 Stay Independent panel [Stay Independent] form
  • 97887-4 Core Outcome Measures Index for the Back [COMI] form
  • 97908-8 Oswestry Disability Index form
  • 98067-2 Patient-centered disability questionnaire form
  • 98915-2 Knee injury and osteoarthritis outcome score - physical function shortform panel [KOOS-PS] form
  • 98917-8 WHO Quality of life-BREF [WHOQOL_BREF] form
  • 98945-9 Hip disability and osteoarthritis outcome score - physical function shortform panel [HOOS-PS] form
  • 99283-4 Tegner Activity Scale panel [Tegner] form
  • 99934-2 Mainz pain staging system panel [Mainz Pain Staging System] form
  • 80976-4 International Prostate Symptom Score [IPSS] form
  • 72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS] form
  • 71007-9 Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) form
  • 72109-2 Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] form
  • 72110-0 Alcohol Use Disorder Identification Test [AUDIT] form
  • 72156-3 Rwandan maternal screening panel [RHEA] form
  • 72355-1 Patient Reported Outcome Quality of Life tool form
  • 72513-5 Vital signs with smoking status and pain scale [VSP] form
  • 75796-3 Physical well being - FACT-GP [FACIT] form
  • 75797-1 Social - family well being - FACT-GP [FACIT] form
  • 75798-9 Emotional well being - FANLTC [FACIT] form
  • 75799-7 Functional well being - FACT-GP [FACIT] form
  • 75800-3 Emotional well being - FACT-GP [FACIT] form
  • 75842-5 Clinical disease activity index [CDAI] form
  • 75843-3 Simplified disease activity index [SDAI] form
  • 80883-2 American Urological Association Symptom Index [AUASI] form
  • 71954-2 Ages and Stages Questionnaires [ASQ] form
  • 82226-2 Neck Disability Index [NDI] form
  • 82316-1 Hip dysfunction and osteoarthritis outcome score for joint replacement [HOOSJR] form
  • 82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR] form
  • 83331-9 Patient Centered Assessment Method panel [PCAM] form
  • 85554-4 Electronic Patient Centered Assessment Method panel [ePCAM] form
  • 86923-0 Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] form
  • 86933-9 Patient Activation Measure - 13 [PAM] form
  • 86946-1 Patient Activation Measure - 10 [PAM] form
  • 88121-9 Hunger Vital Sign [HVS] form
  • 88479-1 Seattle Angina Questionnaire - 7 items [SAQ] form
  • 89070-7 ADAPTABLE patient reported item set [ADAPTABLE] form
  • 89071-5 Enrollment item set [ADAPTABLE] form
  • 89082-2 Early visit item set [ADAPTABLE] form
  • 89083-0 Follow-up visit item set [ADAPTABLE] form
  • 89090-5 Everyday Cognition - Study Partner Report Form [ECog.Partner] form
  • 70544-2 National Comprehensive Cancer Network - Hepatibiliary Symptom Index Questionnaire - 18 items (NCCN-FACT - FHSI-18) [FACIT] form
  • 70552-5 National Comprehensive Cancer Network - Lung Symptom Index Questionnaire - 17 items (NCCN-FACT - FLSI-17) [FACIT] form
  • 70551-7 Functional Assessment of Cancer Therapy - Lung Symptom Index Questionnaire - 7 items - version 4 (FACIT - FACT-LCS) [FACIT] form
  • 70550-9 Functional Assessment of Cancer Therapy - Lung Symptom Index Questionnaire - 12 items - version 4 (FACIT - FLSI-12) [FACIT] form
  • 70549-1 Functional Assessment of Cancer Therapy - Lung Symptom Index Questionnaire - 6 items - version 4 (FACT - FLSI 6) [FACIT] form
  • 70548-3 National Comprehensive Cancer Network - Kidney Symptom Index Questionnaire - 19 items (NCCN-FACT - FKSI-19) [FACIT] form
  • 70547-5 Functional Assessment of Chronic Illness Therapy for patients with kidney cancer - Disease Related Symptoms Questionnaire - 9 items (FACIT - FKSI-DRS 9) form
  • 70546-7 Functional Assessment of Chronic Illness Therapy for patients with kidney cancer questionnaire -10 items (FACIT - FKSI-10) form
  • 70545-9 Functional Assessment of Chronic Illness Therapy for patients with kidney cancer questionnaire -15 items (FACIT - FKSI-15) form
  • 70553-3 National Comprehensive Cancer Network - Lymphoma Symptom Index Questionnaire - 18 items (NCCN-FACT - FLymSI-18) [FACIT] form
  • 70543-4 Functional Assessment of Cancer Therapy - Hepatibiliary Symptom Index Questionnaire - 8 items (FACIT - FHSI-8) [FACIT] form
  • 70542-6 National Comprehensive Cancer Network - Head and Neck Symptom Index Questionnaire - 22 items (NCCN-FACT - FHNSI-22) [FACIT] form
  • 70541-8 Functional Assessment of Cancer Therapy - Head and Neck Symptom Index Questionnaire - 10 items (FACIT - FHNSI) [FACIT] form
  • 70540-0 National Comprehensive Cancer Network - Colorectal Symptom Index Questionnaire - 19 items (NCCN - FCSI-19) [FACIT] form
  • 70539-2 Functional Assessment of Cancer Therapy - Colorectal Symptom Index Questionnaire - 9 items (FCSI-9) [FACIT] form
  • 70538-4 National Comprehensive Cancer Network - Breast Symptom Index Questionnaire - 16 items (NCCN-FBSI-16) [FACIT] form
  • 70537-6 Functional Assessment of Cancer Therapy - Breast Symptom Index Questionnaire - 8 items (FBSI-8) [FACIT] form
  • 70633-3 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 12 items - version 4 (FACT-GOG-NTX 12) [FACIT] form
  • 70674-7 Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel form
  • 70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel form
  • 70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel form
  • 70655-6 Functional Assessment of Cancer Therapy - Taxane Questionnaire - version 4 (FACT-Taxane) [FACIT] form
  • 70649-9 Functional Assessment of Cancer Therapy for patients receiving biologic response modifiers questionnaire - version 4 (FACT-BRM) [FACIT] form
  • 70637-4 Functional Assessment of Cancer Therapy for patients undergoing bone marrow transplantation questionnaire - version 4 (FACT-BMT) [FACIT] form
  • 70636-6 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 4 items - version 4 (FACT-GOG-NTX-4) [FACIT] form
  • 70635-8 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 13 items - version 4 (FACT-GOG-NTX 13) [FACIT] form
  • 70536-8 National comprehensive cancer network - Brain Symptom Index Questionnaire - 24 items (NCCN-FACT - FBrSI-24) [FACIT] form
  • 70624-2 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - version 4 (FACT-GOG-NTX) [FACIT] form
  • 70606-9 Functional Assessment of Cancer Therapy for patients with EGFRI inhibitors questionnaire - 18 items (FACT-EGFRI-18) [FACIT] form
  • 70585-5 Functional Assessment of Cancer Therapy for patients receiving enteral feeding questionnaire - version 1 (FACT-EF) [FACIT] form
  • 70571-5 Functional Assessment of Chronic Illness Therapy - Bone treatment convenience and satisfaction questionnaire - version 1 (FACIT-TS-BTCSQ) form
  • 70557-4 National Comprehensive Cancer Network - Prostate Symptom Index Questionnaire - 17 items (NCCN-FACT-FPSI 17) [FACIT] form
  • 70555-8 National Comprehensive Cancer Network - Ovarian Symptom Index Questionnaire - 18 items (NCCN_FACT - FOSI 18) [FACIT] form
  • 70554-1 Functional Assessment of Cancer Therapy - Ovarian Symptom Index Questionnaire - 8 items (FACIT-FOSI 8) [FACIT] form
  • 70504-6 Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel form
  • 70512-9 Functional Assessment of Cancer Therapy for patients with gastric cancer questionnaire - version 4 (FACT-Ga) [FACIT] form
  • 70511-1 Functional Assessment of Cancer Therapy for patients with endometrial cancer questionnaire - version 4 (FACT-En) [FACIT] form
  • 70510-3 Functional Assessment of Cancer Therapy for patients with esophageal cancer questionnaire - version 4 (FACT-E) [FACIT] form
  • 70509-5 Functional Assessment of Cancer Therapy for patients with cancer of the cervix questionnaire - version 4 (FACT-Cx) [FACIT] form
  • 70508-7 Functional Assessment of Cancer Therapy for patients with cancer in the central nervous system questionnaire - version 4 (FACT-CNS) [FACIT] form
  • 70507-9 Functional Assessment of Cancer Therapy for patients with colorectal cancer questionnaire - version 4 (FACT-C) [FACIT] form
  • 70506-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel form
  • 70505-3 Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel form
  • 70513-7 Functional Assessment of Cancer Therapy for patients with head and neck cancer questionnaire - version 4 (FACT H and N) [FACIT] form
  • 70503-8 Functional Assessment of Cancer Therapy for patients with brain cancer questionnaire - version 4 (FACT-Br) [FACIT] form
  • 70501-2 Functional well-being [FACIT] form
  • 70500-4 Emotional well being [FACIT] form
  • 70499-9 Social - family well-being [FACIT] form
  • 70498-1 Physical well-being [FACIT] form
  • 70497-3 Functional Assessment of Cancer Therapy for patients with bladder cancer questionnaire - version 4 (FACT-Bl) [FACIT] form
  • 70496-5 Functional Assessment of Cancer Therapy for patients with breast cancer questionnaire - version 4 (FACT-B) [FACIT] form
  • 70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel form
  • 70514-5 Functional Assessment of Cancer Therapy for patients with hepatobiliary cancer - version 4 (FACT-Hep) [FACIT] form
  • 70515-2 Functional Assessment of Cancer Therapy for patients with lung cancer questionnaire - version 4 (FACT-L) [FACIT] form
  • 70516-0 Functional Assessment of Cancer Therapy for patients with leukemia questionnaire - version 4 (FACT-Leu) [FACIT] form
  • 70517-8 Functional Assessment of Cancer Therapy for patients with non-Hodgkins lymphoma questionnaire - version 4 (FACT-Lym) [FACIT] form
  • 70518-6 Functional Assessment of Cancer Therapy for patients with melanoma questionnaire - version 4 (FACT-M) [FACIT] form
  • 70519-4 Functional Assessment of Cancer Therapy for patient with multiple myeloma questionnaire - version 4 (FACT-MM) [FACIT] form
  • 70520-2 Functional Assessment of Cancer Therapy for patients with nasopharyngeal cancer questionnaire - version 4 (FACT-NP) [FACIT] form
  • 70521-0 Functional Assessment of Cancer Therapy for patients with ovarian cancer questionnaire - version 4 (FACT-O) [FACIT] form
  • 70522-8 Functional Assessment of Cancer Therapy for patients with vulva cancer questionnaire - version 4 (FACT-V) [FACIT] form
  • 70523-6 Functional Assessment of Cancer Therapy - General Population Questionnaire - version 4 (FACT-GP) [FACIT] form
  • 70524-4 Functional Assessment of Non-Life Threatening Conditions Questionnaire - version 4 (FANLTC) [FACIT] form
  • 70532-7 Functional Assessment of Cancer Therapy - Prostate Symptom Index Questionnaire - 8 items (FAPSI-8) [FACIT] form
  • 70533-5 Functional Assessment of Cancer Therapy - Bladder Symptom Index Questionnaire - 7 items (FBlSI) [FACIT] form
  • 70534-3 National Comprehensive Cancer Network - Bladder Symptom Index Questionnaire - 18 items (NCCN-FBlSI-18) [FACIT] form
  • 70535-0 Functional Assessment of Cancer Therapy - Brain Symptom Index Questionnaire - 15 items [FACIT] form
  • 70884-2 Additional concerns - FACT-NP [FACIT] form
  • 70894-1 Additional concerns - FACIT-D [FACIT] form
  • 70893-3 Additional concerns - FAACT [FACIT] form
  • 70890-9 Additional concerns - FACT-BMT [FACIT] form
  • 70889-1 Additional concerns - FACT-GOG-NTX-13 [FACIT] form
  • 70888-3 Additional concerns - FACT-GOG-NTX-12 [FACIT] form
  • 70887-5 Additional concerns - FACT-GOG-NTX [FACIT] form
  • 70886-7 Additional concerns - FACT-V [FACIT] form
  • 70885-9 Additional concerns - FACT-O [FACIT] form
  • 70895-8 Additional concerns - FACIT-F [FACIT] form
  • 70883-4 Additional concerns - FACT-MM [FACIT] form
  • 70882-6 Additional concerns - FACT-M [FACIT] form
  • 70881-8 Additional concerns - FACT-Lym [FACIT] form
  • 70880-0 Additional concerns - FACT-Leu [FACIT] form
  • 70879-2 Additional concerns - FACT-L [FACIT] form
  • 70878-4 Additional concerns - FACT-H and N [FACIT] form
  • 70877-6 Additional concerns - FACT-Hep [FACIT] form
  • 70876-8 Additional concerns - FACT-Ga [FACIT] form
  • 70896-6 Additional concerns - FACT-An [FACIT] form
  • 70897-4 Additional concerns - FACT-B+4 [FACIT] form
  • 70898-2 Additional concerns - FACT-ES [FACIT] form
  • 70899-0 Additional concerns - FACT-N [FACIT] form
  • 70900-6 Additional concerns - FACT-Th11 [FACIT] form
  • 70901-4 Additional concerns - FACT-Th18 [FACIT] form
  • 70902-2 Additional concerns - FAIT-F [FACIT] form
  • 70903-0 Additional concerns - FAIT-U [FACIT] form
  • 70904-8 Additional concerns - FACIT-AD [FACIT] form
  • 70905-5 Physical well-being - FACIT-CD [FACIT] form
  • 70906-3 Emotional well being - FACIT-CD [FACIT] form
  • 70912-1 Additional concerns - physical [FACIT] form
  • 70913-9 Additional concerns - mental [FACIT] form
  • 70982-4 Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10) form
  • 70983-2 Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33) form
  • 70715-8 Functional Assessment of Chronic Illness Therapy-Diarrhea Questionnaire - version 4 (FACIT-D) form
  • 70785-1 Perceived cognitive abilities [FACIT] form
  • 70774-5 Comments from others [FACIT] form
  • 70759-6 Functional Assessment of Cancer Therapy for patients with cognitive function issues questionnaire - version 3 (FACT-Cog) [FACIT] form
  • 70745-5 Functional Assessment of Cancer Therapy for patients with bone pain questionnaire (FACT-BP) [FACIT] form
  • 70739-8 Functional Assessment of Cancer Therapy for Patients with lymphedema questionnaire - version 4 (FACT-B + 4) [FACIT] form
  • 70736-4 Functional Assessment of Cancer Therapy for patients with anemia - fatigue questionnaire - version 4 (FACT-An) [FACIT] form
  • 70735-6 Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire -13 items - version 4 (FACIT - fatigue 13) form
  • 70726-5 Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire - version 4 (FACIT-F) form
  • 70795-0 Impact on quality of life [FACIT] form
  • 70693-7 Relationships [FACIT] form
  • 70692-9 General perceptions [FACIT] form
  • 70691-1 Treatment satisfaction [FACIT] form
  • 70690-3 Functional Assessment of Chronic Illness Therapy for patients with cervical dysplasia questionnaire - version 4 (FACIT-CD) form
  • 70688-7 Functional Assessment of Chronic Illness Therapy for patients with ascites questionnaire (FACIT-AI) form
  • 70686-1 Functional Assessment of Chronic Illness Therapy for patients with abdominal symptoms questionnaire - version 4 (FACIT-AD) form
  • 70676-2 Functional Assessment of Anorexia-Cachexia Treatment Questionnaire - version 4 (FAACT) [FACIT] form
  • 70495-7 Functional Assessment of Cancer Therapy - General Questionnaire - version 4 (FACT-G) [FACIT] form
  • 70800-8 Functional Assessment of Cancer Therapy for patients with endocrine symptoms questionnaire - version 4 (FACT-ES) [FACIT] form
  • 70807-3 Functional assessment of cancer therapy for patients with neutropenia questionnaire - version 4 (FACT-N) [FACIT] form
  • 70816-4 Functional Assessment of Cancer Therapy for patients with thrombocytopenia questionnaire -11 items - version 4 (FACT-Th11) [FACIT] form
  • 70824-8 Functional Assessment of Cancer Therapy for patients with thrombocytopenia questionnaire -18 items - version 4 (FACT-Th18) [FACIT] form
  • 70831-3 Functional Assessment of Incontinence Therapy - Fecal Questionnaire - version 4 ( [FACIT] form
  • 70837-0 Functional Assessment of Incontinence Therapy - Urinary Questionnaire - version 4 (FAIT-U) [FACIT] form
  • 70849-5 Perceived cognitive impairments [FACIT] form
  • 70868-5 Additional concerns - FACT-B [FACIT] form
  • 70869-3 Additional concerns - FACT-Bl [FACIT] form
  • 70870-1 Additional concerns - FACT-Br [FACIT] form
  • 70871-9 Additional concerns - FACT-C [FACIT] form
  • 70872-7 Additional concerns - FACT-CNS [FACIT] form
  • 70873-5 Additional concerns - FACT-Cx [FACIT] form
  • 70874-3 Additional concerns - FACT-E [FACIT] form
  • 70875-0 Additional concerns - FACT-En [FACIT] form