Table 1 Questions of the QUALITOUCH Activity Index. Translated from German to English by the authors for this publication (not validated)
Questions | Possible answers | |
|---|---|---|
Q1 | How strong were your average pain levels or complaints over the last 24 h? (VAS 0–10) | no pain (0) to severe pain (10) |
Q2 | To what extent did pain or complaints affect your quality of sleep? (0/25/50/75/100%) | not at all/ slightly/ moderate/ strong/ extreme |
Q3 | How strongly did pain or complaints affect your household activities? (0/25/50/75/100%) | not at all/ slightly/ moderate/ strong/ extreme |
Q4 | How strongly did pain or complaints affect your leisure activities? (0/25/50/75/100%) | not at all/ slightly/ moderate/ strong/ extreme |
Q5 | How strongly did pain or complaints affect your work activities? (0/25/50/75/100%) | not at all/ slightly/ moderate/ strong/ extreme/ I do not work |
Q6 | Please rate your perceived general health condition (0/25/50/75/100%) | poor/ moderate/ good/ very good/ excellent |
Q7 | How satisfied are you with the therapy you have received? (100/66/33/0%) | fully/ moderate /little /not satisfied/ no information possible yet |
Q8 | How strong were your maximum pain levels or complaints over the past 24 h? (VAS 0–10) | no pain (0) to severe pain (10) |