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Additional Measures

LICENSED BY FACIT.ORG

  • SMDDS: Symptoms of Major Depressive Disorder Scale

  • MFSAF v4.0: Myelofibrosis Symptom Assessment Form v4.0 Diary

  • MFSAF v4.0: Myelofibrosis Symptom Assessment Form v4.0 7-day Recall

  • NSCLC-SAQ: Non-Small Cell Lung Cancer Symptom Assessment Questionnaire

  • ADSD/ANSD: Asthma Daytime Symptom Diary and Asthma Nighttime Symptom Diary

  • DIBSS-C: Diary for Irritable Bowel Syndrome Symptoms - Constipation

All C-Path Clinical Outcome Assessment (COA) Measures

C-Path COA measures and their licensing procedures can be found on the C-Path COA website. Clicking the link below will leave the FACIT site and redirect you to the C-Path COA website.

Go to the C-Path COA website

OMWQ: Oral Mucositis Weekly Questionnaire
OMDQ: Oral Mucositis Daily Questionnaire
HAMSIQ: Hand-Foot and Mucositic Symptom and Impact Questionnaire
MICRA: Multidimensional Impact of Cancer Risk Assessment
PRAI: Patient-Reported Arthralgia Inventory
PRRS: Patient Roles and Responsibilities Scale
CRRS: Caregiver Roles and Responsibilities Scale
PROMIS SF v1.0 - Fatigue 10a: Patient-Reported Outcomes Measurement Information System - Fatigue Short Form 10a
PROMIS SF v1.0 – Fatigue 13a: Patient-Reported Outcomes Measurement Information System - Fatigue Short Form 13a
PROMIS SF v1.0 – Dyspnea-Severity 10a: Patient-Reported Outcomes Measurement Information System - Dyspnea Severity Short Form 10a
PROMIS SF v1.0 – Dyspnea Functional Limitations 10a: Patient-Reported Outcomes Measurement Information System - Dyspnea Functional Limitations Short Form 10a
PROMIS SF v1.0 – Dyspnea-Severity 5a: Patient-Reported Outcomes Measurement Information System - Dyspnea Severity Short Form 5a
PROMIS SF v1.0 – Dyspnea-Severity 5b: Patient-Reported Outcomes Measurement Information System - Dyspnea Severity Short Form 5b
PROMIS SF v1.0 – Dyspnea-Functional Limitations 5a: Patient-Reported Outcomes Measurement Information System - Dyspnea Functional Limitations Short Form 5a
PROMIS SF v1.0 – Dyspnea-Functional Limitations 5b: Patient-Reported Outcomes Measurement Information System - Dyspnea Functional Limitations Short Form 5b
PROMIS Item Bank v1.0 – Dyspnea Severity: Patient-Reported Outcomes Measurement Information System Item Bank - Dyspnea Severity 
PROMIS Item Bank v1.0 – Dyspnea Functional Limitations: Patient-Reported Outcomes Measurement Information System Item Bank - Dyspnea Functional Limitations
BESS: BCPT Eight Symptom Scale
NVMBQ: Nausea and Vomiting Management Barriers Questionnaire
DMD: Diarrhea Management Diary
Deep Vein Thrombosis Leg Symptom Index (DVT-LSI)

COA information updated frequently.

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