From: Pre-validation methods for developing a patient reported outcome instrument
Item No. | Item | Response |
---|---|---|
553 | When you write sentences in vertical lines, does it lean to either direction? | No/occasionally/frequently |
566 | Because of your vision how much problem do you have in locking and unlocking the door? | Not at all, a little, quite a bit, a lot, cannot do because of my sight. |
569 | Do you have difficulty, even with glasses doing decorating? | (Yes/No/Not applicable) If yes, how much difficulty do you currently have? (A little = 1; A moderate amount = 2; A great deal = 3, Are you unable to do the activity = 4?) |
572 | Do you have difficulty with chopsticks? | No/occasionally/frequently |