Pain | |
---|---|
I have no pain. | 100 |
There is mild pain but I do not need medication. | 75 |
I have moderate pain (requires regular medication, such as codeine or non-narcotic). | 50 |
I have severe pain controlled only by narcotics. | 25 |
I have severe pain not controlled by medication. | 0 |
Disfigurement | |
There is no change in my appearance. | 100 |
The change in my appearance is minor. | 75 |
My appearance bothers me but I remain active. | 50 |
I feel significantly disfigured and limit my activities due to my appearance. | 25 |
I cannot be with people due to my appearance. | 0 |
Activity | |
I am as active as I have ever been. | 100 |
There are times when I can’t keep up my old pace, but not often. | 75 |
I am often tired and have slowed down my activities although I still get out. | 50 |
I don’t go out because I don’t have the strength. | 25 |
I am usually in bed or a chair and don’t leave home. | 0 |
Recreation/Entertainment | |
There are no limitations to recreation at home and away from home. | 100 |
There are a few things I can’t do but I still get out and enjoy life. | 75 |
There are many times when I wish I could get out more but I’m not up to it. | 50 |
There are severe limitations to what I can do. Mostly I stay home and watch TV. | 25 |
I can’t do anything enjoyable. | 0 |
Employment | |
I work full time or job has no correlation with cancer. | 100 |
I have a part-time but permanent job. | 75 |
I only have occasional employment. | 50 |
I am unemployed. | 25 |
I am retired. | 0 |
Eating - Chewing | |
I can chew as well as ever. | 100 |
I can eat soft solids but cannot chew some foods. | 50 |
I cannot chew even soft solids. | 0 |