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Table 1 QLCCDQ - examples of questions

From: Development, evaluation and validation of a new instrument for measurement quality of life in the parents of children with chronic disease

Domains         
Symptoms         
  Did the child show any worrying symptoms?
   All the time Most of the time Often Sometime Seldom Very seldom Never
Emotions         
  Have you experienced anxiety because of your child's health problems?
   All the time Most of the time Often Sometimes Seldom Very seldom Never
Role functioning         
Social         
  Please indicate how much you have been limited by your child's disease in listed activities in past two weeks - Social activities (going to church, cinema, visiting friends)
   Extremely limited Very limited Quite limited Moderately limited Somewhat limited Hardly limited Not limited
Occupational         
  Please indicate how much you have been limited by your child's disease in work related activities in past two weeks
   Extremely limited Very limited Quite limited Moderately limited Somewhat limited Hardly limited Not limited
Family         
  Do you struggle to find time to spend with other family members (spouse, another child) because of your child' disease?
   Extremely limited Very limited Quite limited Moderately limited Somewhat limited Hardly limited Not limited
Scaling for answers (points) 1 2 3 4 5 6 7