From: Development of a symptom assessment in patients with myelofibrosis: qualitative study findings
INSTRUCTION TEXT: The following screens display questions about your myelofibrosis symptoms. Please rate each symptom at its WORST during the PAST 24 h | ||
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1 | During the PAST 24 HOURS, at its WORST, how was your … Filling up quickly when you eat (feeling of fullness soon after you begin to eat) | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
2 | During the PAST 24 HOURS, at its WORST, how was your … Abdominal discomfort (feeling uncomfortable, pressure or bloating) | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
3 | During the PAST 24 HOURS, at its WORST, how was your … Inactivity (including work, home and social activities) | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
4 | During the PAST 24 HOURS, at its WORST, how was your … Night sweats (excessive sweating during sleep) | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
5 | During the PAST 24 HOURS, at its WORST, how was your … Itching | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
6 | During the PAST 24 HOURS, at its WORST, how was your … Bone pain (widespread pain, not joint pain or arthritis) | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
7 | During the PAST 24 HOURS, at its WORST, how was your … Pain below the ribs on the left side | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
8 | During the PAST 24 HOURS, at its WORST, how was your … Fatigue (tiredness) | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
9 | During the PAST 24 HOURS, at its WORST, how was your … Shortness of breath | (Absent) 0 1 2 3 4 5 6 7 8 9 10 (Worst Imaginable) |
10 | During the PAST 24 HOURS, how was your … Appetite | (Normal appetite) 0 1 2 3 4 5 6 7 8 9 10 (Complete loss of appetite) |