Skip to main content

Table 6 The original Chronic Ear Survey (CES) [8]

From: Clinimetric evaluation and clinical outcomes of the Dutch version of the Chronic Ear Survey

Activity Restriction Based-Subscale

 A1

Because of your ear problem, you don’t swim or shower without protecting your ear.

Definitely true

True

False

Definitely false

  

 A2

At the present time, how severe a limitation is the necessity to keep water out of your ears?

Very severe

Severe

Moderate

Mild

Very mild

None

 A3

In the past four weeks, has your ear problem interfered with your social activities with friends, family and groups?

All of the time

Most of the time

A good bit of the time

Some of the time

A little of the time

None of the time

Symptom scale

 S1

Your hearing loss is:

Very severe

Severe

Moderate

Mild

Very mild

None

 S2

Drainage from your ear is:

Very severe

Severe

Moderate

Mild

Very mild

None

 S3

Pain from your ear is:

Very severe

Severe

Moderate

Mild

Very mild

None

 S4

Odor from your ear is very bothersome to you and/or others:

Definitely true

True

Don’t know

False

Definitely false

 

 S5

The hearing loss in your affected ear bothers you:

All of the time

Most of the time

A good bit of the time

Some of the time

A little of the time

None of the time

 S6

In the past 6 months, please estimate the frequency that your affected ear has drained:

Constantly

5 or more times, but not constantly

3–4 times

1–2 times

Not at all

 

 S7

The odor from your ear affected ear bothers you and/or others:

All of the time

Most of the time

A good bit of the time

Some of the time

A little of the time

None of the time

Medical Resource Subscale

 M1

In the past 6 months, how many separate times have you visited your doctor, specifically about your ear problem?

More than 6 times

5–6 times

3–4 times

1–2 times

None

 

 M2

In the past 6 months, how many separate times have you used oral antibiotics to treat your ear infection?

More than 6 times

5–6 times

3–4 times

1–2 times

None

 

 M3

In the past 6 months, how many separate times have ear drops been necessary to treat your ear condition?

More than 6 times

5–6 times

3–4 times

1–2 times

None

 
  1. Copyright© 1997 Massachusetts Eye and Ear Infirmary and Outcome Science, Lic