appendix d qol questionnaires
for the following questions please

between 1 and 7 that How would you rate your overall health during the past week?  
Very poor 4 5 6 cllant 30.  
How would you rate your overall quality of life during the past week?  
l 2 3 4 5 6 7 Very poor Excellent
© Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0  
  
Hospital Anxiety and Depression Scale (HADS)  
| Tick the box beside the reply that is closest to how you have been feeling in the past week.   |                                         |                                   |                                       |
|------------------------------------------------------------------------------------------------|-----------------------------------------|-----------------------------------|---------------------------------------|
| Don't take too long over you replies: your immediate is best.                                  |                                         |                                   |                                       |
| D                                                                                              | A                                       | D                                 |                                       |
| I feel tense or 'wound up':                                                                    | l feel as if I am slowed down:          |                                   |                                       |
| 3                                                                                              | Most of the time                        | 3                                 | Nearly all the time                   |
| 2                                                                                              | A lot of the time                       | 2                                 | Very often                            |
| Sometimes                                                                                      |                                         |                                   |                                       |
| 1                                                                                              | From time to time, occasionally         |                                   |                                       |
| o                                                                                              | Not at all                              | o                                 | Not at all                            |
| l still enjoy the things I used to                                                             | l get a sort of frightened feeling like |                                   |                                       |
| enjoy:                                                                                         | 'butterflies' in the stomach:           |                                   |                                       |
| 0                                                                                              | Definitely as much                      | 0                                 | Not at all                            |
| 1                                                                                              | Not quite so much                       | 1                                 | Occasionally                          |
| 2                                                                                              | Only a little                           | 2                                 | Quite Often                           |
| 3                                                                                              | Hardly at all                           | 3                                 | Very Often                            |
| l get a sort of frightened feeling as if                                                       |                                         |                                   |                                       |
| something awful is about to                                                                    | I have lost interest in my appearance:  |                                   |                                       |
| happen:                                                                                        |                                         |                                   |                                       |
| 3                                                                                              | Very definitely and quite badly         | 3                                 | Definitely                            |
| 2                                                                                              | Yes, but not too badly                  | 2                                 | l don't take as much care as I should |
| A little, but it doesn't worry me                                                              |                                         |                                   |                                       |
| 1                                                                                              | 1                                       | l may not take quite as much care |                                       |
| I take just as much care as ever                                                               |                                         |                                   |                                       |
| 0                                                                                              | Not at all                              | 0                                 |                                       |
| l can laugh and see the funny side                                                             | l feel restless as I have to be on the  |                                   |                                       |
| of things:                                                                                     | move:                                   |                                   |                                       |
| o                                                                                              | As much as I always could               | Very much indeed                  |                                       |
| 3                                                                                              |                                         |                                   |                                       |
| 1                                                                                              | Not quite so much now                   | 2                                 | Quite a lot                           |
| 2                                                                                              | Definitely not so much now              | 1                                 | Not very much                         |
| 3                                                                                              | Not at all                              | 0                                 | Not at all                            |
| Worrying thoughts go through my                                                                | l look forward with enjoyment to        |                                   |                                       |
| mind:                                                                                          | things:                                 |                                   |                                       |
| 3                                                                                              | A great deal of the time                | 0                                 | As much as I ever did                 |
| 2                                                                                              | A lot of the time                       | 1                                 | Rather less than I used to            |
| 1                                                                                              | From time to time, but not too often    | 2                                 | Definitely less than I used to        |
| Only occasionally                                                                              | 3                                       | Hardly at all                     |                                       |
| 0                                                                                              | I feel cheerful:                        | I get sudden feelings of panic:   |                                       |
| Not at all                                                                                     |                                         |                                   |                                       |
| 3                                                                                              | 3                                       | Very often indeed                 |                                       |
| 2                                                                                              | Not often                               | 2                                 | Quite often                           |
| 1                                                                                              | Sometimes                               | 1                                 | Not very often                        |
| 0                                                                                              | Most of the time                        | 0                                 | Not at all                            |
| l can sit at ease and feel relaxed:                                                            | l can enjoy a good book or radio or TV  |                                   |                                       |
| program:                                                                                       |                                         |                                   |                                       |
| 0                                                                                              | Definitely                              | 0                                 | Often                                 |
| Usually                                                                                        | Sometimes                               |                                   |                                       |
| Not Often                                                                                      | Not often                               |                                   |                                       |
| 2                                                                                              | 2                                       |                                   |                                       |
| 3                                                                                              | Not at all                              | Very seldom                       |                                       |
| 3                                                                                              |                                         |                                   |                                       |
| Please check you have answered all the questions                                               |                                         |                                   |                                       |
appendix d qol questionnaires
scoring

Total score: Depression (D)
= Normal 0-7 8-10
= Borderline abnormal (borderline case)
1-21  = Abnormal (case)
Anxiety (A)  
| Not at   | Quite                                                                                     | Very   |      |
|----------|-------------------------------------------------------------------------------------------|--------|------|
| all      | A little                                                                                  | a bit  | Much |
| 1        | Have you been feeling self-conscious about your  appearance?                              |        |      |
| 2        | Have you felt less physically attractive as a result of  your disease or treatment?       |        |      |
| 3        | Have you been dissatisfied with your appearance when  dressed?                            |        |      |
| 4        | Have you been feeling less feminine/masculine as a  result of your disease or treatment   |        |      |
| 5        | Did you find it difficult to look at yourself naked?                                      |        |      |
| 6        | Have you been feeling less sexually attractive as a  result of your disease or treatment? |        |      |
| 7        | Did you avoid people because of the way you felt about  your appearance?                  |        |      |
| 8        | Have you been feeling the treatment has left your body  less whole?                       |        |      |
| 9        | Have you felt dissatisfied with your body?                                                |        |      |
| 10       | Have you been dissatisfied with the appearance of your  scar(s)?                          |        |      |