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Emotional function
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Did you feel tense? (QLQ-C30)
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I feel sad (FACT-E)
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How often in the past two weeks have you felt fearful of cancer recurrence? (EQOL)
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Role physical/ADLs
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Has your illness interfered with your ability to do your job? (PAIS)
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If you take medicine, does this affect your daily life? (GERD-HRQL)
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Does your health now limit you in bathing or dressing yourself? (SF 36)
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Physical function
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Because of your illness, how much physical strength have you lost? (GIQLI)
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Did you have any trouble taking a long walk? (QLQ-C30)
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I am forced to spend time in bed (FACT-E)
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Social function
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How limited have you been in the past two weeks visiting friends or relatives? (EQOL)
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To what extent have your personal relations with people close to you worsened because of your illness? (GIQLI)
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Are you still as interested in your leisure time activities and hobbies as you were prior to your illness? (PAIS)
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Generic health
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How often during the past two weeks have you felt unwell (GIQLI)
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How would you rate your overall health during the past week? (QLQ-C30)
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I seem to get sick a little easier than other people (SF 36)
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