How often does someone help your with reading letters or brochures from your general practitioner, the hospital or other health care institutions?
How often is it hard for you to get to know more about your health, because you don't understand that written information well enough?
We are interested in your opinion about your disease. Please circle the number from 0 - 10 that best describes your experiences.
Did you discuss with your specialist how often you have to come back from this moment on?
Did you receive care after the treatment of your illness from below stated practitioners?
Below you see a list of chronic conditions and diseases. Please indicate for each condition or disease whether you have it now or have had it in the past 12 months. Please answer this for each condition or disease.
Please indicate for each condition if you are treated for it or not.
Please indicate for each condition whether it interferes with your activities or not.
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.
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:
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 4 weeks:
How true or false is each of the following statements about medication for you?
How true or false is each of the following statements about medication for you?