Skip to main content

Table 5 Healthy Days Survey

From: The relationship between comorbidity medication adherence and health related quality of life among patients with cancer

Question

Response options

1. Would you say your general health is

Excellent

Very good

Good

Fair

Poor

2. Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good?

Number of days

3. Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good?

Number of days

4. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?

Number of days