Table 1 The Functional Assessment of Cancer Therapy-EGFRI 18 (FACT-EGFRI 18)
Instructions: “Below is a list of statements that other people with your illness have said are important. Please check one box per line to indicate your response as it applies to the past 7 days.” | ||||||
|---|---|---|---|---|---|---|
Item No. | Item | Response category | ||||
Not at all | A little bit | Somewhat | Quite a bit | Very much | ||
1 | My skin or scalp feels irritated | |||||
2 | My skin or scalp is dry or “flaky” | |||||
3 | My skin or scalp itches | |||||
4 | My skin bleeds easily | |||||
5 | I am bothered by a change in my skin’s sensitivity to the sun | |||||
6 | My skin condition interferes with my ability to sleep | |||||
7 | My skin condition affects my mood | |||||
8 | My skin condition interferes with my social life | |||||
9 | I am embarrassed by my skin condition | |||||
10 | I avoid going out in public because of how my skin looks | |||||
11 | I feel unattractive because of how my skin looks | |||||
12 | Changes in my skin condition make daily life Difficult | |||||
13 | The skin side effects from treatment have interfered with household tasks | |||||
14 | My eyes are dry | |||||
15 | I am bothered by sensitivity around my fingernails or toenails | |||||
16 | Sensitivity around my fingernails makes it difficult to perform household tasks | |||||
17 | I am bothered by hair loss | |||||
18 | I am bothered by increased facial hair | |||||