Daily affairs (For example work, school, householding, family- and leisure activities)
Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems during the past week. During the past week:
Life after cancer 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...
Instruction: We are interested in certain things about you and your health. Please answer each question by checking the box in the indicated manner. If you are not sure how to answer a question, please give the answer that best applies to your situation. There are no wrong or right answers.
You have indicated that you have had trouble getting life insurance. What was the outcome?
You have indicated that you have had trouble getting (additional) health insurance. What was the outcome?
How often have you had stools (bowel movements) that were loose or liquid (no form, watery, mushy) during the last week?
How often have you had crampy pain in your abdomen, pelvis or rectum during the last week?