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Table 2 EORTC QLQ-C30

From: A multicenter randomized controlled open-label trial to assess the efficacy of compound kushen injection in combination with single-agent chemotherapy in treatment of elderly patients with advanced non-small cell lung cancer: study protocol for a randomized controlled trial

Questions

Not at all

A little

Quite a bit

Very much

1. Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?

1

2

3

4

2. Do you have any trouble taking a long walk?

1

2

3

4

3. Do you have any trouble taking a short walk outside of the house?

1

2

3

4

4. Do you need to stay in bed or a chair during the day?

1

2

3

4

5. Do you need help with eating, dressing, washing yourself, or using the toilet?

1

2

3

4

During the past week:

    

6. Were you limited in doing either your work or other daily activities?

1

2

3

4

7. Were you limited in pursuing your hobbies or other leisure time activities?

1

2

3

4

8. Were you short of breath?

1

2

3

4

9. Have you had pain?

1

2

3

4

10. Did you need to rest?

1

2

3

4

11. Have you had trouble sleeping?

1

2

3

4

12. Have you felt weak?

1

2

3

4

13. Have you lacked appetite?

1

2

3

4

14. Have you felt nauseated?

1

2

3

4

15. Have you vomited?

1

2

3

4

16. Have you been constipated?

1

2

3

4

During the past week:

    

17. Have you had diarrhea?

1

2

3

4

18. Were you tired?

1

2

3

4

19. Did pain interfere with your daily activities?

1

2

3

4

20. Have you had difficulty in concentrating on things, like reading a newspaper or watching television?

1

2

3

4

21. Did you feel tense?

1

2

3

4

22. Did you worry?

1

2

3

4

23. Did you feel irritable?

1

2

3

4

24. Did you feel depressed?

1

2

3

4

25. Have you had difficulty remembering things?

1

2

3

4

26. Has your physical condition or medical treatment interfered with your family life?

1

2

3

4

27. Has your physical condition or medical treatment interfered with your social activities?

1

2

3

4

28. Has your physical condition or medical treatment caused you financial difficulties?

1

2

3

4

For the following questions please circle the number between 1 and 7 that best applies to you.

29. How would you rate your overall health during the past week?

               1          2          3          4          5          6          7

Very poor                                               Excellent

30. How would you rate your overall quality of life during the past week?

               1          2          3          4          5          6          7

Very poor                                                   Excellent