Very poor 1 | Poor 2 | Good 3 | Very good 4 | Excellent 5 | |
---|---|---|---|---|---|
Functional area: How do you rate your QOL performing these tasks? | |||||
Writing | |||||
Manual work | |||||
Grasping objects | |||||
Using a touch screen | |||||
Leisure | |||||
Total score (5–25) | |||||
Very poor 1 | Poor 2 | Good 3 | Very good 4 | Excellent 5 | |
Social area: How do you rate your QOL when doing the following activities? | |||||
Shaking hands | |||||
Holding hands | |||||
Sociability with friends | |||||
Playing sports | |||||
Other activities | |||||
Total score (5–25) | |||||
Very poor 1 | Poor 2 | Good 3 | Very good 4 | Excellent 5 | |
Stressful circumstances: How would you rate your QOL in these situations? | |||||
In a warm room | |||||
When you are worried | |||||
Taking an exam | |||||
Speaking in public | |||||
Other situation | |||||
Total score (5–25) | |||||
Do not know 1 | Strongly agree 2 | Agree 3 | Disagree 4 | Strongly disagree 5 | |
Interaction with others | |||||
People notice my excessive sweeting | |||||
People avoid me because of my excessive sweeting | |||||
I frequently avoid social interaction | |||||
I am overall less confident | |||||
I have a trouble maintaining relationship |