Subscale | FACT-B (version 4) | ||
---|---|---|---|
Item ID | Item/question | Response options | |
PWB | GP1 | I have a lack of energy | Intensity (not at all, a little bit, somewhat quite a bit, very much) |
GP2 | I have nausea | ||
GP3 | Because of my physical condition, I have trouble meeting the needs of my family | ||
GP4 | I have pain | ||
GP5 | I am bothered by side effects of treatment | ||
GP6 | I feel ill | ||
GP7 | I am forced to spend time in bed | ||
SWB | GS1 | I feel close to my friends | Intensity (not at all, a little bit, somewhat quite a bit, very much) |
GS2 | I get emotional support from my family | ||
GS3 | I get support from my friends | ||
GS4 | My family has accepted my illness | ||
GS5 | I am satisfied with family communication about my illness | ||
GS6 | I feel close to my partner (or the person who is my main support) | ||
GS7 | I am satisfied with my sex life | ||
EWB | GE1 | I feel sad | Intensity (not at all, a little bit, somewhat quite a bit, very much) |
GE2 | I am satisfied with how I am coping with my illness | ||
GE3 | I am losing hope in the fight against my illness | ||
GE4 | I feel nervous | ||
GE5 | I worry about dying | ||
GE6 | I worry that my condition will get worse | ||
FWB | GF1 | I am able to work (include work at home) | Intensity (not at all, a little bit, somewhat quite a bit, very much) |
GF2 | My work (include work at home) is fulfilling | ||
GF3 | I am able to enjoy life | ||
GF4 | I have accepted my illness | ||
GF5 | I am sleeping well | ||
GF6 | I am enjoying the things I usually do for fun | ||
GF7 | I am content with the quality of my life right now | ||
BCS | B1 | I have been short of breath | Intensity (not at all, a little bit, somewhat quite a bit, very much) |
B2 | I am self-conscious about the way I dress | ||
B3 | One or both of my arms are swollen or tender | ||
B4 | I feel sexually attractive | ||
B5 | I am bothered by hair loss | ||
B6 | I worry that other members of my family might someday get the same illness I have | ||
B7 | I worry about the effect of stress on my illness | ||
B8 | I am bothered by a change in weight | ||
B9 | I am able to feel like a woman | ||
P2 | I have certain parts of my body where I experience pain |