These questions ask for your views about your health. This information will keep track of how you feel and how well you are able to do your usual activities. Please answer every question by marking one box. if you are unsure about how to answer, please give the best answer you can.
Please fill in the questionnaire by yourself, in your own pace. You can answer the questions by checking the box/number that applies best to your situation. If you are not sure, please answer the question by choosing the answer that is closest to your situation. There are no right or wrong...
Can you indicate in the table below how many hours you have spend on average on a weekly basis on the following activities in the past summer and winter. - This concerns activities outside your (un)paid work. - If one type of activity does not apply, enter '0 '.
How many times did you have contact with your general practitioner in the past 12 months?
Did you discuss with your specialist how often you have to come back from this moment on?